Provider Demographics
NPI:1427026616
Name:MERKEL, STEVEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:MERKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 JACKSON PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1560
Mailing Address - Country:US
Mailing Address - Phone:740-886-9403
Mailing Address - Fax:740-886-3006
Practice Address - Street 1:98 STATE ST
Practice Address - Street 2:
Practice Address - City:PROCTORVILLE
Practice Address - State:OH
Practice Address - Zip Code:45669-8163
Practice Address - Country:US
Practice Address - Phone:740-886-9403
Practice Address - Fax:740-886-3006
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35052200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00833936OtherMEDICARE RR
OH303086OtherUNISON MEDICAID
WV10037006OtherBWC
OH000000666208OtherANTHEM BC/BS
OH0628664OtherMOLINA MEDICAID
OH2241160OtherCIGNA
WV0052078000Medicaid
OH0628664Medicaid
OH310917085230OtherCARESOURCE MEDICAID
OHA17114Medicare UPIN
WV0052078000Medicaid
P00833936OtherMEDICARE RR
OHME0605404Medicare PIN