Wayman D. Merrill III is a Family Medicine Physician practicing in Manhattan Beach, California. The National Provider Identifier (NPI) is #1225186190, which was assigned on January 8, 2007, and the registration record was last updated on December 20, 2008. The practitioner's main practice location is at 111 N Sepulveda Blvd Ste 210, Manhattan Beach, CA 90266-6849; the contact telephone number is 3103792134. The primary taxonomy of Wayman D. Merrill III is Family Medicine Physician (207Q00000X). Wayman D. Merrill III is licensed to practice in the state of California (#G29834).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
| NPI | 1225186190 |
| Entity Type | Individual |
| Provider Name | WAYMAN D. MERRILL III |
| Gender | Male |
| Credential | MD |
| Practice Address |
111 N Sepulveda Blvd Ste 210 Manhattan Beach CA 90266-6849 |
| Practice Telephone | 3103792134 |
| Mailing Address |
4335 Marina City Dr Unit 1144 Marina Del Rey CA 90292-5802 |
| Mailing Telephone | 3102914243 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-12-20 |
| Is Sole Proprietor | N |
| PAC ID |
2264594563 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | WAYMAN MERRILL, III |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Primary Specialty | FAMILY MEDICINE |
| Organization Legal Name | WILMINGTON COMMUNITY CLINIC |
| Address |
1009 N Avalon Blvd Wilmington CA 90744-4505 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G29834 | CA |
| Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| Classification | Family Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| Street Address |
111 N SEPULVEDA BLVD STE 210 |
| City | MANHATTAN BEACH |
| State | CA |
| Zip Code | 90266-6849 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jeffrey Singer | 120 45th St, Manhattan Beach, CA 90266-3015 | Anesthesiology Physician | 2025-04-10 |
| Susmitha Marneni | 1590 Rosecrans Ave Ste N, Manhattan Beach, CA 90266-3723 | Dentist | 2021-01-06 |
| Eudora Krystle, Nneka Osuala | 1500 Rosecrans Ave Ste 500, Manhattan Beach, CA 90266-3771 | Psychiatric/Mental Health Nurse Practitioner | 2020-11-10 |
| Leslie E Irvine | 1200 Rosecrans Ave Ste 110, Manhattan Beach, CA 90266-2470 | Otolaryngology Physician | 2013-07-02 |
| Ae Professional Medical Group Corporation | 1600 Rosecrans Ave Bldg 7 Ste 400, Manhattan Beach, CA 90266-3708 | Family Medicine Physician | 2025-05-23 |
| Jennifer Harmatz | 3201 N Sepulveda Blvd Ste A, Manhattan Beach, CA 90266-2463 | Acupuncturist | 2024-11-18 |
| Monica S. Wu | 2006 N Sepulveda Blvd # 1021, Manhattan Beach, CA 90266-2725 | Clinical Psychologist | 2020-02-01 |
| Michelle Jillian Dolinsky | 1500 Rosecrans Ave Ste 500, Manhattan Beach, CA 90266-3771 | Case Manager/Care Coordinator | 2018-07-09 |
| Lev Grinman Md 4 Professional Corporation | 1590 Rosecrans Ave Ste D924, Manhattan Beach, CA 90266-3727 | Internal Medicine Physician | 2024-11-18 |
| Patrick Michael Kelly | 1230 Rosecrans Ave Ste 300, Manhattan Beach, CA 90266-2494 | Psychiatry Physician | 2007-01-30 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |