Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 15121 | NC |
N | 208600000X | Surgeon | 15121 | NC |
Y | 2082S0105X | Plastic Hand Surgeon | 0101026492 | VA |
NPI | 1871694091 |
---|---|
Provider Name | Dr. Wyndell Hunt Merritt |
First Address | Henrico, VA 23294-4378 |
Second Address | Henrico, VA 23294-4378 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 24/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0004137182 | AETNA INSURANCE (01) | |
005673 | ANTHEM BX (01) | VA |
1300002 | UNITED HEALTHCARE (01) | |
149330400 | US DEPARTMENT LABOR (01) | |
220987 | MAMSI (01) | |
220987 | OPTIMUM CHOICE (01) | |
240007986 | RAILROAD MEDICARE (01) | GA |
42220 | SOUTHERN HEALTH (01) | |
6943420 | (05) | VA |
AS07523600001 | CIGNA HEALTHCARE (01) | |
B09324 | (02) |