FAROUK E MERCHO (NPI# 1457497307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457497307 |
| Entity Type | Individual |
| Full Name | FAROUK E MERCHO |
| Other Name | FRANK E MERCHO |
| Credential | MD |
| Practice Address |
1701 S Creasy Ln Lafayette IN 47905-4972 |
| Mailing Address |
3900 St Francis Way Suite 215 Lafayette IN 47905-4923 |
| Practice Telephone | 7654464819 |
| Practice Fax Number | 7654464859 |
| Mailing Telephone | 7654464819 |
| Mailing Fax Number | 7654464859 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35.088403 | OH | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01031856A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2863414 | 05 | |
| IN | BCBS | 000000379915 | 01 |
| IN | ANTHEM BCBS | 000000653260 | 01 |
| IN | 100320650 | 05 | |
| IN | RR MEDICARE | P00817909 | 01 |
| Street Address |
1701 S CREASY LN |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497756563 | Douglas W Rookstool | Internal Medicine | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2005-08-10 |
| 1730787029 | Angela Strawmyer-grever | Nurse Practitioner | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-10-09 |
| 1619590338 | Katelyn Jane Haver | Physician Assistant | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-05-28 |
| 1912520420 | Tosha Mosby | Occupational Therapist | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-05-19 |
| 1538780747 | Betty Ann Demko | Registered Nurse | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-04-28 |
| 1538795604 | Molly Elliott Meadows Grundy | Clinical Nurse Specialist | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-03-20 |
| 1073148219 | Stacy Ann Bible | Pharmacist | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-03-09 |
| 1295371805 | Kelsey Clair Haas | Physician Assistant | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2019-11-19 |
| 1811559800 | Colton James Saroff | Physician Assistant | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2019-07-01 |
| 1275193518 | Rebecca Gray | Occupational Therapist | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2019-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295448 | Hassan Sawaf | Radiology | 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 | 2020-01-30 |
| 1801383245 | St Marys Imaging Center II | Radiology | 4809 Ambassador Caffery Pkwy Ste 350, Lafayette, LA 70508-8801 | 2018-04-20 |
| 1578937744 | Modesto Radiological Medical Group | Radiology | 2283 Hidden Pond Ln, Lafayette, CA 94549-1742 | 2015-11-25 |
| 1629411210 | Lowell David Froker | Radiology | 32 Olympic Oaks Dr, Lafayette, CA 94549-4800 | 2013-04-12 |
| 1386987196 | Imaging Partners Medical Group | Radiology | 3976 Canyon Rd, Lafayette, CA 94549-2702 | 2013-03-29 |
| 1982946562 | Rachael Lane Guillory | Radiology | 1811 Dulles Dr, Lafayette, LA 70506-3724 | 2013-03-21 |
| 1578811386 | Maurice Louis Bercier | Radiology | 309 Steiner Road, Lafayette, LA 70508 | 2012-08-28 |
| 1295024222 | Lourdes Imaging Center LLC | Radiology | 4809 Ambassador Caffery Parkway, Suite 350, Lafayette, LA 70508 | 2011-03-30 |
| 1467784744 | Delano Zeus Arvin | Radiology | 6233 N 700 E, Lafayette, IN 47905-9761 | 2010-02-11 |
| 1003045287 | Professional Radiology Network Tlc-prn, LLC | Radiology | 107 Kempton Dr, Lafayette, LA 70508-6547 | 2009-07-08 |
| Find all providers in LAFAYETTE | ||||
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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.