DOUGLAS EDWARD MERKEL (NPI# 1235156811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235156811 |
Entity Type | Individual |
Full Name | DOUGLAS EDWARD MERKEL |
Credential | MD |
Practice Address |
2650 Ridge Ave Kellogg Cancer Center Evanston IL 60201 |
Mailing Address |
2650 Ridge Ave Kellogg Cancer Center Evanston IL 60201-1718 |
Practice Telephone | 8475702112 |
Practice Fax Number | 8475701041 |
Mailing Telephone | 8475702112 |
Mailing Fax Number | 8475701041 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2020-10-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
036065572 | IL | Allopathic & Osteopathic Physicians |
Street Address |
2650 RIDGE AVE KELLOGG CANCER CENTER |
City | EVANSTON |
State | IL |
Zip Code | 60201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669476545 | Steven C Smart | Internal Medicine | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2005-06-09 |
1609477744 | Nicole Jeanine Strode | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-11-04 |
1609475243 | Fredrich Francis Raz | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-24 |
1548869209 | Ross Phillips | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-22 |
1760081673 | Lauren Elizabeth Todorova | Dietitian, Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-21 |
1245839364 | Christine B Lawlor | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-20 |
1386242956 | Jessica Elaine Rogers | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-15 |
1376141226 | Amanda Hemple | Registered Nurse | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-13 |
1710584297 | Natalia W Izquierdo | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-07 |
1558975078 | Lauren Grandi | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-09-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
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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 |
---|---|---|---|---|
1699063644 | Poornima Saha | Internal Medicine | 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201-1718 | 2011-07-12 |
1942445648 | Nicholas Paul Campbell | Internal Medicine | 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201 | 2008-12-09 |
1811193592 | Lauren A. Wiebe | Internal Medicine | 2650 Ridge Ave., Palliative Care, Evanston, IL 60201 | 2007-06-21 |
1639388226 | Marisa E. Hill | Internal Medicine | 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201 | 2007-05-21 |
1740349695 | Bruce Earl Brockstein | Internal Medicine | 2650 Ridge Ave, Kellogg Cancer Center, Evanston, IL 60201 | 2006-12-07 |
1629094958 | Richard H. Knop | Internal Medicine | 2650 Ridge Ave, Div. of Hematology-oncology, Evanston, IL 60201-1718 | 2006-07-13 |
1134145469 | Gershon Yehuda Locker | Internal Medicine | 2650 Ridge Ave, Div. of Hematology-oncology, Evanston, IL 60201-1718 | 2006-07-13 |
1932132743 | Thomas A. Hensing | Internal Medicine | 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201 | 2006-07-08 |
1851324503 | Janardan D. Khandekar | Internal Medicine | 2650 Ridge Ave, Kellogg Cancer Center, Evanston, IL 60201 | 2006-07-08 |
1689607152 | Daniel H. Shevrin | Internal Medicine | 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201 | 2006-07-08 |
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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.