Provider Demographics
NPI:1902887128
Name:MERHIGE, MICHAEL EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EDWARD
Last Name:MERHIGE
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 1:2447 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-9405
Mailing Address - Country:US
Mailing Address - Phone:716-835-1545
Mailing Address - Fax:716-835-1580
Practice Address - Street 1:2447 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-9405
Practice Address - Country:US
Practice Address - Phone:716-835-1545
Practice Address - Fax:716-835-1580
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY177176207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA1675OtherPTAN
NYDD6365OtherPTAN
NY01112156Medicaid
NYRA0987OtherPTAN
NYDD6365OtherPTAN