MICHAEL J MERRY (NPI# 1477529675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477529675 |
| Entity Type | Individual |
| Full Name | MICHAEL J MERRY |
| Credential | MD |
| Practice Address |
1010 Fairway Dr Freeport IL 61032-6600 |
| Mailing Address |
421 W Exchange St Po Box 268 Freeport IL 61032-4030 |
| Practice Telephone | 8155997790 |
| Mailing Telephone | 8155997950 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2017-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036074925 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036074925 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669725008 | Michael James Merry | Optometrist | 817 Court St, 10, Jackson, CA 95642-2156 | 2012-10-23 |
| Street Address |
1010 FAIRWAY DR |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070933 | Susan K. Rahn | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2005-06-01 |
| 1073163838 | Tamisha Verner | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2019-09-13 |
| 1629628326 | Heather Lutz | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2019-09-13 |
| 1265081681 | Judy Cullor | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2019-09-09 |
| 1336623453 | Jane Addams Community Mental Health Center | Clinic/Center | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2018-09-25 |
| 1003334905 | Madison E Pickard | Physical Therapist | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2017-08-31 |
| 1114449519 | Lynda A Shiro | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2017-07-07 |
| 1699212043 | Timothy Rupnow | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2017-01-24 |
| 1972973238 | Cody Gallagher | Physical Medicine & Rehabilitation | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2015-09-30 |
| 1578993929 | Allyson Wilken | Physical Therapy Assistant | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2013-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942798707 | Ibis Health Services-maine LLC | Internal Medicine | 140 Main St Ste 3, Freeport, ME 04032-1348 | 2018-04-27 |
| 1972053890 | Long Island Detox Inc. | Internal Medicine | 157 N Bayview Ave, Freeport, NY 11520-1901 | 2016-10-04 |
| 1134431455 | Laurie Ann Ramrattan | Internal Medicine | 153 Mission Road, Freeport, TRINIDAD 11111 | 2010-07-02 |
| 1487796850 | Johnson C Chan | Internal Medicine | 190 W Merrick Road, Freeport, NY 11520 | 2007-02-13 |
| 1740208933 | Scott Vincent Rankin | Internal Medicine | 276 Moore Ave, Freeport, NY 11520-1042 | 2006-07-17 |
| 1184662835 | Twin Cities Primary Care, LLC | Internal Medicine | 479 Highway 20 E, Freeport, FL 32439-3931 | 2006-06-03 |
| 1538137351 | Sakdidej Suwan | Internal Medicine | 419 Market St, Freeport, PA 16229-1121 | 2006-03-09 |
| 1487620803 | William C Sharelis | Internal Medicine | 750 Kiwanis Dr, Freeport, IL 61032-7119 | 2006-02-25 |
| 1417920091 | Sergio Gabriel Suarez | Internal Medicine | 72 Guy Lombardo Ave, Suite 1, Freeport, NY 11520 | 2006-02-13 |
| 1164494449 | George Gregory Ross | Internal Medicine | 281 State Highway 20 E, Freeport, FL 32439-3929 | 2006-02-02 |
| Find all providers in FREEPORT | ||||
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| 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.