MR. JOHN FREEMAN MERRILL (NPI# 1548587819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548587819 |
| Entity Type | Individual |
| Full Name | MR. JOHN FREEMAN MERRILL |
| Credential | L.D |
| Practice Address |
1075 Stage Rd Etna ME 04434 |
| Mailing Address |
Po Box 107 Etna ME 04434-0107 |
| Practice Telephone | 2072694570 |
| Mailing Telephone | 2072694570 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | 5012 | ME | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972007516 | John Merrill | Specialist/Technologist | 2013 Glenhaven Dr, Haltom City, TX 76117-6518 | 2018-03-20 |
| 1801237276 | John Moore Merrill | Internal Medicine | 40515 County Road 69a, Suite B, Hayden, CO 81639-9504 | 2013-07-12 |
| 1740357912 | John A Merrill | Dentist | 9735 Kincey Ave, Suite 206, Huntersville, NC 28078-9118 | 2006-11-30 |
| 1992152326 | John Floyd Merrill | Family Medicine | 147 N Brent St, Ventura, CA 93003-2809 | 2016-05-16 |
| 1588054480 | John Daniel Merrill | Social Worker | 276 Whitten Rd Ste 2, Hallowell, ME 04347-3035 | 2015-01-29 |
| 1417004524 | John Merrill | Physician Assistant | 6095 Indian River Rd, Suite 201, Virginia Beach, VA 23464-3818 | 2007-01-04 |
| Street Address |
1075 STAGE RD |
| City | ETNA |
| State | ME |
| Zip Code | 04434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073869723 | Susan Virginia Hoffman | Durable Medical Equipment & Medical Supplies | 132 Station Rd, Etna, ME 04434 | 2012-07-31 |
| 1053528232 | Amy E. Dumond | Social Worker | 309 Old County Road, Etna, ME 04434 | 2007-05-17 |
| 1376010629 | New England Adaptive Equipment | Durable Medical Equipment & Medical Supplies | 132 Station Rd, Etna, ME 04434-3034 | 2018-10-25 |
| 1104371772 | Tatsiana Fields | Specialist | 158 Old County Rd, Etna, ME 04434-3814 | 2016-08-23 |
| 1669531828 | Kelley Jean Grover | Social Worker | 540 Old County Rd, Etna, ME 04434-3818 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992283 | Linda D Osborne | Homemaker | 57 Georgian Dr Sw, Etna, OH 43068-3806 | 2020-11-03 |
| 1871190165 | Leroy Harlan Haugen | Home Health Aide | 126 Deer Path Ct, Etna, OH 43062-6004 | 2020-10-08 |
| 1013523968 | Victoria Sekou-mamadou | In Home Supportive Care | 7610 Palmer Rd Sw, Etna, OH 43062-9024 | 2020-09-16 |
| 1861019127 | Kristin M Schemine | Dentist | 1028 Columbus St, Etna, OH 43018-9015 | 2020-07-02 |
| 1023639168 | Jodi C Neff | Driver | 104 East Ave, Etna, OH 43062 | 2020-04-29 |
| 1093348294 | Aja Monique Watson | Nurse Practitioner | 120 Copland Dr, Etna, OH 43062-7674 | 2020-02-15 |
| 1245871144 | Laurie Sweezey | Technician | 2918 Island Rd, Etna, CA 96027-9701 | 2019-10-01 |
| 1578124699 | Allison Dietz | Social Worker | 11 Burreed Ct, Etna, OH 43062-9638 | 2019-06-28 |
| 1114583515 | Michael Caruso | Contractor | 19 Burreed Ct, Etna, OH 43062-9638 | 2019-05-13 |
| 1275199788 | Terrell Hudson | Case Manager/Care Coordinator | 276 Glen Crossing Dr, Etna, OH 43062-7138 | 2019-05-10 |
| Find all providers in ETNA | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134647043 | Queen City Dentures and Partials, LLC | Denturist | 289 West Broadway, Lincoln, ME 04401-5932 | 2017-08-31 |
| 1134652142 | Gary Hughes | Denturist | 190 State St, Presque Isle, ME 04769-2656 | 2017-04-06 |
| 1962944645 | Lindsey April Young | Denturist | 477 N Searsport Rd, Prospect, ME 04981-3401 | 2016-11-10 |
| 1730639311 | Kathleen Ann Coward | Denturist | 1200 Main Street, Sanford, ME 04073 | 2016-10-07 |
| 1316285067 | Beatrice R Tokayer | Denturist | 291 Alfred St, Biddeford, ME 04005-3155 | 2013-01-30 |
| 1164714812 | Standish Denture Center LLC | Denturist | 178 Cape Rd, Standish, ME 04084-6147 | 2011-05-12 |
| 1841581873 | Denture Crafters LLC. | Denturist | 647 Us Route 1 Ste 107, York, ME 03909-1689 | 2011-04-25 |
| 1346567062 | Robert D Palermo | Denturist | 54 York St, Kennebunk, ME 04043-7157 | 2010-04-21 |
| 1417287244 | Kelly Carbone | Denturist | 980 Forest Ave Ste 104, Portland, ME 04103-3357 | 2009-12-29 |
| 1760612188 | Danny V Hollis | Denturist | 33 Granite Rock Cir N, Surry, ME 04684-3601 | 2009-07-20 |
| Find all providers with the same taxonomy | ||||
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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.