National Provider Identifier

Merit Medical Practice, PC

Merit Medical Practice, PC is listed in the NPPES registry with a primary specialty of Rheumatology Physician in Rochester, NY and a listed phone number of (585) 288-0530.

NPI 1760520274Rochester, NYRheumatology Physician

Profile Overview

NPI
1760520274
Provider Type
Organization
Primary Specialty
Rheumatology Physician
Enumeration Date
February 05, 2007
Last Updated
August 22, 2020

Practice Location

  • 500 Helendale RD
  • Suite 90
  • Rochester, NY 14609-3173

Phone: (585) 288-0530

Specialties

  • Rheumatology Physician (207RR0500X)
Full Record
NPI
1760520274
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Merit Medical Practice, PC
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
500 Helendale RD
Mailing Address Line 2
Suite 90
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-3173
Mailing Country
US
Mailing Phone
(585) 288-0530
Mailing Fax
(585) 288-3363
Practice Street Address
500 Helendale RD
Practice Address Line 2
Suite 90
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-3173
Practice Country
US
Practice Phone
(585) 288-0530
Practice Fax
(585) 288-3363
Enumeration Date
February 05, 2007
Last Updated
August 22, 2020
Authorized Official Last Name
Shlotzhauer
Authorized Official First Name
Tammi
Authorized Official Middle Name
L
Authorized Official Title
Physician
Authorized Official Phone
(585) 288-0530
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
5852880530
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Rheumatology Physician (207RR0500X)
Other Identifiers
AA0637 (NY, Medicare), G0188846590 (NY, Excellus), 02042262 (NY, Medicaid)