TIM R MERRELL (NPI# 1396740833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396740833 |
| Entity Type | Individual |
| Full Name | TIM R MERRELL |
| Practice Address |
2250 Thornton Taylor Pkwy Ste B Fayetteville TN 37334-3651 |
| Mailing Address |
630 Happy Valley Rd P.o. Box 327 Bell Buckle TN 37020-4362 |
| Practice Telephone | 9314339600 |
| Practice Fax Number | 9314339601 |
| Mailing Telephone | 9313899772 |
| Mailing Fax Number | 9313899772 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2011-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
492 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUECROSS BLUESHEILD TN | 4032931 | 01 |
| TN | PALMETTO | 4546250001 | 01 |
| TN | PTAN | 3352858 | 01 |
| TN | 3353598 | 05 | |
| TN | RAILROAD MEDICARE | 480034078 | 01 |
| AL | BLUECROSS BLUESHEILD AL | 89014323 | 01 |
| Street Address |
2250 THORNTON TAYLOR PKWY STE B |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700137791 | Merrell Foot Clinic, PC | Non-Pharmacy Dispensing Site | 2250 Thornton Taylor Pkwy, Suite B, Fayetteville, TN 37334-3651 | 2012-10-01 |
| 1649443250 | Lincoln County Vision Center | Optometrist | 2250 Thornton Taylor Pkwy, Suite A, Fayetteville, TN 37334-3651 | 2008-04-04 |
| 1316117278 | William C. Womble | Eyewear Supplier (Equipment, not the service) | 2250 Thornton Taylor Pkwy, Suite A, Fayetteville, TN 37334-3651 | 2008-03-06 |
| 1174662811 | Merrell Foot Clinic PC | Podiatrist | 2250 Thornton Taylor Pkwy, Suite B, Fayetteville, TN 37334-3651 | 2007-02-06 |
| 1992888440 | William Coy Womble | Optometrist | 2250 Thornton Taylor Pkwy, Suite A, Fayetteville, TN 37334-3651 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| Find all providers in zip 37334 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134179740 | Kathleen M Lynch | Podiatrist | 512 Towne Dr, Fayetteville, NY 13066-1331 | 2006-05-12 |
| 1174662811 | Merrell Foot Clinic PC | Podiatrist | 2250 Thornton Taylor Pkwy, Suite B, Fayetteville, TN 37334-3651 | 2007-02-06 |
| 1942206255 | Philip Alden Lewis Jr. | Podiatrist | 2300 Ramsey St, Va Medical Center (112), Fayetteville, NC 28301-3856 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497215438 | Sandberg Foot Health Center PC | Podiatrist | 116 Concord Rd Ste 300, Knoxville, TN 37934-2941 | 2019-03-25 |
| 1912202516 | Northwest Tennessee Foot Clinic, Pllc | Podiatrist | 1020 E Reelfoot Ave, Union City, TN 38261-6051 | 2011-01-13 |
| 1114158144 | Tomika Thomas Dpm | Podiatrist | 6775 Watergrove Dr, Memphis, TN 38119-8658 | 2009-08-08 |
| 1407021926 | Steve K Chase Dpm PC | Podiatrist | 7174 Stage Rd Ste 123, Bartlett, TN 38133-8954 | 2008-04-25 |
| 1376723163 | Associated Podiatrists of Tennessee | Podiatrist | 100 Medical Center Ct, Clarksville, TN 37043-4546 | 2007-11-08 |
| 1417140070 | Timothy L. Gardner,dpm | Podiatrist | 10810 Parkside Dr Ste 202, Knoxville, TN 37934-1981 | 2007-08-27 |
| 1437297595 | Oliver Foot Clinic, Inc. | Podiatrist | 635 N. Main Street, Suite A, Shelbyville, TN 37160-3235 | 2007-02-01 |
| 1134161979 | David Michael Velarde | Podiatrist | 2824 Merchants Dr, Knoxville, TN 37912-4905 | 2006-06-12 |
| 1720039779 | Carol A. Akerman | Podiatrist | 2725 Asbury Rd, Suite 102, Knoxville, TN 37914-6441 | 2006-05-15 |
| 1033109327 | Paul Benjamin Schodowski | Podiatrist | 2004 American Way, Suite 115, Kingsport, TN 37660-4673 | 2005-10-27 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
Please comment or provide details below to improve the information on TIM R MERRELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.