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NPI Code Detail

MEDICARE: DR. SARAH DENTINGER MERRICK M.D.

MEDICARE: DR. SARAH DENTINGER MERRICK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician41072KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000534174OTHERKYANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32863828000OTHERKYPASSPORT ADVANTAGE
450016353OTHERKYPASSPORT

General Provider Information

NPI Number : 1922134311
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH DENTINGER MERRICK M.D.
Provider Business Mailing Address
First Line : 7401 WILCOTT CT
Second Line :
City : PROSPECT
State : KY
Zip : 40059-8869
Country : US
Telephone Number : 502-930-6880
Fax Number :
Provider Business Practice Location Address
First Line : 4201 SPRINGHURST BLVD STE 102
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-6156
Country : US
Telephone Number : 502-930-6880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 06/01/2026

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