DR. STEPHANIE I MERRILL (NPI# 1861699324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861699324 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE I MERRILL |
| Credential | MD |
| Practice Address |
2075 University Park Blvd Layton UT 84041-1611 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8017796200 |
| Practice Fax Number | 8014751621 |
| Mailing Telephone | 8017796200 |
| Mailing Fax Number | 8014751621 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2012-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 8133411-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 54878-020 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2007013531 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051239 | Stephanie Merrill | Nurse Practitioner | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2020-04-10 |
| 1578974457 | Stephanie Marie Merrill | Dentist | 9682 Cincinnati Columbus Rd, West Chester, OH 45241-1071 | 2014-05-14 |
| Street Address |
2075 UNIVERSITY PARK BLVD |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386658698 | Kellie A Dye | Dietitian, Registered | 2075 University Park Blvd, Layton, UT 84041-1611 | 2006-07-29 |
| 1770054777 | Bradly Dean Winter | Pharmacist | 2075 University Park Blvd, Layton, UT 84041-1611 | 2018-12-17 |
| 1558832394 | Noel Larsen Bell | Physician Assistant | 2075 University Park Blvd, Layton, UT 84041-1611 | 2018-12-05 |
| 1013412063 | Shae Francom | Nurse Practitioner | 2075 University Park Blvd, Layton, UT 84041-1611 | 2018-03-29 |
| 1477083640 | Sheena Marie Bohman | Physical Therapy Assistant | 2075 University Park Blvd, Layton, UT 84041-1611 | 2017-06-19 |
| 1659801389 | Andrew Cardon | Nurse Practitioner | 2075 University Park Blvd, Layton, UT 84041-1611 | 2017-06-15 |
| 1912435744 | Ihc Health Services Inc | Pain Medicine | 2075 University Park Blvd, Layton, UT 84041-1611 | 2017-05-24 |
| 1083070643 | Ihc Health Services Inc | Dermatology | 2075 University Park Blvd, Layton, UT 84041-1611 | 2016-01-12 |
| 1457730962 | Joey Hanson | Family Medicine | 2075 University Park Blvd, Layton, UT 84041-1611 | 2015-05-29 |
| 1679952188 | Drue Webb | Family Medicine | 2075 University Park Blvd, Layton, UT 84041-1611 | 2015-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760822423 | Michael Bradley Burton | Pediatrics | 934 S Main St Ste 8, Layton, UT 84041-7136 | 2013-06-26 |
| 1629130133 | Robert Shawn Hoki | Pediatrics | 2086 N 1700 W, Suite C, Layton, UT 84041-1164 | 2006-12-14 |
| 1235211004 | Mari Suto Luce | Pediatrics | 2244 E 3500 N, Layton, UT 84040-2471 | 2006-10-20 |
| 1669424099 | Kelson Physician Partners of Layton, Inc. | Pediatrics | 2086 N. 1700 W (robbins Drive), Suite C, Layton, UT 84041-1118 | 2006-05-16 |
| 1750389805 | Laurent Christophe Sigg | Pediatrics | 934 S Main Street, Layton, UT 84041 | 2005-07-12 |
| 1306367867 | Ihc Health Services Inc | Pediatrics | 201 W Layton Parkway, Layton, UT 84041 | 2017-07-05 |
| 1194106625 | Colton Lee Ragsdale | Pediatrics | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2015-06-10 |
| 1053679027 | Joshua Mcbride | Pediatrics | 2075 University Park Blvd, Layton, UT 84041-1611 | 2012-04-27 |
| 1881989143 | Bryan Ellertson | Pediatrics | 2121 N 1700 W, Layton, UT 84041-8803 | 2011-06-15 |
| 1023227725 | Kelson Physician Partners of Layton, Inc. | Pediatrics | 934 S Main St, Suite 8, Layton, UT 84041-4250 | 2007-05-21 |
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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.