JORDAN W MERRILL (NPI# 1902197007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902197007 |
| Entity Type | Individual |
| Full Name | JORDAN W MERRILL |
| Credential | MD |
| Practice Address |
1032 S. Bridgeway Pl. Ste 110 Eagle ID 83616 |
| Practice Telephone | 2084750800 |
| Practice Fax Number | 2086390901 |
| Mailing Telephone | 2084750800 |
| Mailing Fax Number | 2086390901 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2016-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
M-13001 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720335466 | Jordan Scott Merrill | Chiropractor | 2995 Fort Henry Dr, Suite 200, Kingsport, TN 37664-4068 | 2012-08-13 |
| Street Address |
1032 S. BRIDGEWAY PL. STE 110 |
| City | EAGLE |
| State | ID |
| Zip Code | 83616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1316579527 | Renae Klein | Psychiatry & Neurology | 1032 S Bridgeway Pl, Eagle, ID 83616-6099 | 2020-02-05 |
| 1225425754 | Steven Ayers | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616-6099 | 2015-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514870 | Ascend LLC | Psychiatry & Neurology | 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404-6371 | 2020-06-25 |
| 1770071276 | Michael Duerden | Psychiatry & Neurology | 91 K St, Rexburg, ID 83440-1441 | 2018-04-30 |
| 1528488905 | Alison Joy Krause | Psychiatry & Neurology | 703 South Americana Blvd #150, Boise, ID 83702 | 2014-04-23 |
| 1750704425 | Rick Dale Turner | Psychiatry & Neurology | 3818 W Catalpa Dr, Boise, ID 83703-4265 | 2014-01-30 |
| 1245670793 | Ashton Memorial, Inc. | Psychiatry & Neurology | 1301 E 17th St Ste 4, Idaho Falls, ID 83404-6273 | 2013-06-28 |
| 1477996932 | Emily Patricia Hutchison | Psychiatry & Neurology | 500 W Fort St Bldg T110, Boise, ID 83702-4501 | 2013-04-14 |
| 1336408632 | Little Angels | Psychiatry & Neurology | 1680 Woodruff Park, Idaho Falls, ID 83401-3330 | 2012-05-08 |
| 1730408717 | Kirsten Rose Aaland | Psychiatry & Neurology | 500 W Fort St Bldg 116, Boise, ID 83702-4501 | 2010-05-31 |
| 1649597055 | Alex Brent Wills | Psychiatry & Neurology | 950 W Bannock St Ste 1100, Boise, ID 83702-6140 | 2010-04-24 |
| 1174757140 | William Terry Gipson | Psychiatry & Neurology | 10455 Jay Rd, Boise, ID 83714-9775 | 2009-05-06 |
| 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.