JAN M MERIN (NPI# 1225031321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225031321 |
| Entity Type | Individual |
| Full Name | JAN M MERIN |
| Credential | MD |
| Practice Address |
3917 West Rd Los Alamos NM 87544-2275 |
| Mailing Address |
Po Box 129 Los Alamos NM 87544-0129 |
| Practice Telephone | 5056623450 |
| Mailing Telephone | 5056623450 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
92-304 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE GROUP | 900521294 | 01 |
| NM | 14065 | 05 |
| Street Address |
3917 WEST RD |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366089237 | Gonzalo A Diaz | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2019-12-10 |
| 1124576327 | Clay Schneider | Nurse Practitioner | 3917 West Rd, Los Alamos, NM 87544-2275 | 2016-09-15 |
| 1093167330 | Laura K Merrigan | Nurse Practitioner | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2016-07-11 |
| 1043675473 | Total Renal Care Inc | Clinic/Center | 3917 West Rd, Ste G-02, Los Alamos, NM 87544-2275 | 2015-12-30 |
| 1225414253 | Sarah Versackas | Registered Nurse | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2015-07-31 |
| 1700273745 | Apogee Medical Group | General Acute Care Hospital | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-04-16 |
| 1679965883 | Los Alamos Emergency Medical Associates Inc | Emergency Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-02-25 |
| 1659773612 | Eric Jonathan Krinsky | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-22 |
| 1740681311 | Robin Jean Norman | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-14 |
| 1245679000 | Kelly M Young | Registered Nurse | 3917 West Rd, Ste. A, Los Alamos, NM 87544-2275 | 2013-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558446187 | San Juan Oncology Associates, PC | Internal Medicine | 735 W Animas St, Farmington, NM 87401-5616 | 2006-10-25 |
| 1013940675 | Bernard M Agbemadzo | Internal Medicine | Pmg Hematology/oncology, 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2006-07-08 |
| 1932148384 | Constance Daphne Wash | Internal Medicine | 150 S Roadrunner Pkwy, Las Cruces, NM 88011-7044 | 2006-06-04 |
| 1366439101 | Richard Bush Ross | Internal Medicine | 2477 S Telshor Blvd, Las Cruces, NM 88011-5049 | 2005-10-05 |
| 1720081839 | Clark E Haskins | Internal Medicine | 4901 Lang Avenue Ne, Albuquerque, NM 87109-4397 | 2005-05-23 |
| 1831724517 | Joseph Ekofo | Internal Medicine | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-03-03 |
| 1477804409 | Las Cruces Cancer Care LLC | Internal Medicine | 1180 Mall Dr, Suite B, Las Cruces, NM 88011-8101 | 2012-10-01 |
| 1477882876 | Peter Bernat | Internal Medicine | 2559 Medical Dr, Suite G, Alamogordo, NM 88310-8703 | 2009-12-14 |
| 1609105139 | St. Vincent Hospital | Internal Medicine | 490 A W Zia Rd, Santa Fe, NM 87505-6996 | 2009-12-11 |
| 1750444915 | Esme E Finlay | Internal Medicine | 1201 Camino De Salud Ne, Albuquerque, NM 87102-4517 | 2006-12-19 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
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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.