Provider Demographics
NPI:1679755243
Name:MICHAEL E. MERHIGE, MD, LLC
Entity type:Organization
Organization Name:MICHAEL E. MERHIGE, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF OPERATING OFFICIER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-278-4771
Mailing Address - Street 1:621 10TH ST
Mailing Address - Street 2:SUITE 262
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301-1813
Mailing Address - Country:US
Mailing Address - Phone:716-278-4771
Mailing Address - Fax:716-278-4787
Practice Address - Street 1:621 10TH ST
Practice Address - Street 2:SUITE 262
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-1813
Practice Address - Country:US
Practice Address - Phone:716-278-4771
Practice Address - Fax:716-278-4787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY177176207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC19312Medicare UPIN
NY1679755243Medicare PIN
NYAA1675Medicare PIN