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Deactivated NPI 1578548038 Deactivated / Inactive NPI Male Practitioner

Dr. Robert A Merrell , MD

Specialist • Ormond Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Merrell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 07, 2005
NPI Deactivation Date April 01, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Merrell, MD was a registered Specialist practicing in Ormond Beach, FL. Throughout an active medical career spanning 14 years, Dr. Merrell provided care at the practice location at 1050 W GRANADA BLVD until profile deactivation on 2019-04-01.

Practice Location & Contact Primary Location

Practice Address

1050 W Granada Blvd
Suite 4

Ormond Beach, FL 321748154

Telephone 3866778808
Fax 3866779919
Associated Practice Facility / Clinic
🏢 Coastal Ear Nose & Throat Pa Facility NPI 1265417729

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Ormond Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.7 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
23 Specialists

Practicing in Ormond Beach, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME9280

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1093749350

Doctor of Medicine (M.D.)

NPI 1144218892

Doctor of Medicine (M.D.)

Dr. Perrin Clark , MD

Otolaryngology - Otolaryngology/Facial Plastic Surgery

NPI 1194796128

Doctor of Medicine (M.D.)

NPI 1245214022

Doctor of Medicine (M.D.)

Dr. Jane Dillon , MD

Otolaryngology

NPI 1295705283

Doctor of Medicine (M.D.)

NPI 1427033984

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 01, 2019

Record deactivated on April 01, 2019

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1050 W GRANADA BLVD, SUITE 4, ORMOND BEACH, FL 321748154 (Tel: 3866778808)

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Updated Business Mailing Address July 09, 2007

Registered at 1050 W GRANADA BLVD, SUITE 4, ORMOND BEACH, FL 321748154 (Tel: 3866778808)

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Provider Name / Credentials Updated July 09, 2007

Recorded as ROBERT MERRELL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #ME9280 in FL)

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Initial NPI Registration & Enumeration December 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578548038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2005
Last Update: July 09, 2007
Deactivation Date: April 01, 2019

Mailing Address

1050 W Granada Blvd, Suite 4

Ormond Beach, FL 321748154

Phone: 3866778808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.