DAVID C MERRILL (NPI# 1972587053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972587053 |
| Entity Type | Individual |
| Full Name | DAVID C MERRILL |
| Credential | MD |
| Practice Address |
8905 W Lincoln Ave #505 West Allis WI 53227-2468 |
| Practice Telephone | 4143295647 |
| Mailing Telephone | 4143295647 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2011-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 9701062 | NC | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
9701062 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | Q0106A | 05 | |
| WV | 3004936000 | 05 | |
| NC | 891055R | 05 | |
| NC | BCBS | 1055R | 01 |
| NC | PARTNERS | 19721 | 01 |
| AETNA | 7336411 | 01 | |
| VA | 6217281 | 05 | |
| NC | MEDCOST | B8052 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982723094 | David N Merrill | Chiropractor | 24017 104th Ave Se, Kent, WA 98030-4975 | 2007-03-28 |
| 1225038805 | David Merrill | Family Medicine | 69 Us Route 1, 6 Nonesuch Rd, Scarborough, ME 04074-9374 | 2005-07-26 |
| 1265055735 | David James Merrill | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-05-19 |
| 1306266796 | David Merrill | Internal Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2014-04-23 |
| 1396177101 | David Merrill | Pharmacist | 22829 State Road 54, Land O Lakes, FL 34639-5227 | 2013-08-02 |
| 1124355755 | David Merrill | Pharmacist | 2141 N Josey Ln, Carrollton, TX 75006-2903 | 2009-11-03 |
| 1801069190 | David L Merrill | Nurse Anesthetist, Certified Registered | 111 W State St, Boise, ID 83702-6127 | 2008-04-08 |
| 1902923410 | David Arthur Merrill | Psychiatry & Neurology | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2007-03-22 |
| 1164550711 | David B. Merrill | Psychiatry & Neurology | 1051 Riverside Dr, Nyspi, New York, NY 10032-1007 | 2007-03-02 |
| 1962452201 | David R Merrill | Dentist | 3795 Kiesel Ave, Ogden, UT 84405-1601 | 2006-05-10 |
| Street Address |
8905 W LINCOLN AVE #505 |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619428794 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 8905 W Lincoln Ave, Suite 515, West Allis, WI 53227-2468 | 2016-10-24 |
| 1194141291 | Angela Ghazazadeh Vallenari | Nurse Practitioner | 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227-2468 | 2014-03-13 |
| 1629413786 | Lucy Tapia Franco | Midwife | 8905 W Lincoln Ave, Suite 515, West Allis, WI 53227-2468 | 2013-05-02 |
| 1174889034 | Lauren Madonna Tran | Obstetrics & Gynecology | 8905 W Lincoln Ave, Suite 515, West Allis, WI 53227-2468 | 2012-04-04 |
| 1972816999 | Emily M Hanizeski | Nurse Practitioner | 8905 W Lincoln Ave, West Allis, WI 53227-2468 | 2010-07-19 |
| 1023339132 | Stacy Michelle Syrcle | Obstetrics & Gynecology | 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227-2468 | 2010-06-14 |
| 1851619829 | Jennifer L. Dumke | Nurse Practitioner | 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227-2468 | 2010-05-14 |
| 1932330362 | Allison M Mcneil | Registered Nurse | 8905 W Lincoln Ave, #515, West Allis, WI 53227-2468 | 2009-08-03 |
| 1003042037 | Michelle J. Rick | Registered Nurse | 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227-2468 | 2009-06-04 |
| 1457592735 | Aurora Medical Group, Inc. | Obstetrics & Gynecology | 8905 W Lincoln Ave, Suite 515, West Allis, WI 53227-2468 | 2009-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336431139 | Geoffrey Howard Gordon | Obstetrics & Gynecology | 737 Apollo Way, Madison, WI 53718-2913 | 2011-05-11 |
| 1417982448 | John Sargent Sholl | Obstetrics & Gynecology | 2133 To To Tom Dr, Lac Du Flambeau, WI 54538-9661 | 2006-07-11 |
| 1548218886 | Chanel T Tyler | Obstetrics & Gynecology | 7021 Colony Dr, Madison, WI 53717-1407 | 2006-05-05 |
| 1811966211 | Dinesh M Shah | Obstetrics & Gynecology | 117 S Hamilton St Apt 807, Madison, WI 53703-4415 | 2006-03-16 |
| 1811996796 | Marilynn E Frederiksen | Obstetrics & Gynecology | 945 N 12th St, Milwaukee, WI 53233-1305 | 2005-07-21 |
| 1811330376 | Jacquelyn Hanna Adams | Obstetrics & Gynecology | 202 S Park St, Madison, WI 53715-1507 | 2013-04-15 |
| 1164764874 | Rachel Katherine Harrison | Obstetrics & Gynecology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2013-03-20 |
| 1437409752 | Fox Valley Perinatology, S.c. | Obstetrics & Gynecology | 1818 N Meade St, Appleton, WI 54911-3454 | 2012-09-13 |
| 1336431287 | Emily Rose Smith | Obstetrics & Gynecology | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2011-05-11 |
| 1912297102 | Kathleen Antony | Obstetrics & Gynecology | 202 S Park St, Madison, WI 53715-1507 | 2011-04-09 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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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.