EVAN CHARD MERRILL (NPI# 1528166485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528166485 |
| Entity Type | Individual |
| Full Name | EVAN CHARD MERRILL |
| Credential | DPM |
| Practice Address |
1904 E Barnett Rd Medford OR 97504-8262 |
| Practice Telephone | 5417763338 |
| Practice Fax Number | 5417764979 |
| Mailing Telephone | 5417763338 |
| Mailing Fax Number | 5417764979 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | DP00312 | OR | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
DP00312 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 297199 | 05 | |
| OR | BLUE CROSS PROVIDER NUMBE | 891269001 | 01 |
| Street Address |
1904 E BARNETT RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134521750 | Devin Dimond | Podiatrist | 1904 E Barnett Rd, Medford, OR 97504-8262 | 2014-09-26 |
| 1891980546 | Southern Oregon Foot & Ankle, LLC | Podiatrist | 1904 E Barnett Rd, Medford, OR 97504-8262 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134300742 | Dr. Michael Wooster, Dpm PC | Podiatrist | 700 Patchogue Yaphank Rd Ste 6, Medford, NY 11763-2212 | 2007-11-26 |
| 1063455392 | Alison Dawn Silhanek | Podiatrist | 1641 Route 112, Medford, NY 11763-3635 | 2006-06-14 |
| 1891980546 | Southern Oregon Foot & Ankle, LLC | Podiatrist | 1904 E Barnett Rd, Medford, OR 97504-8262 | 2007-09-06 |
| 1134260169 | Cambridge Podiatry Network PC | Podiatrist | 425 Salem St, Medford, MA 02155-3337 | 2007-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083991400 | Larry D Jensen Dpm PC | Podiatrist | 11815 Sw King James Pl, Suite 60, Tigard, OR 97224-2478 | 2011-11-14 |
| 1992942064 | Lester Tengsico LLC | Podiatrist | 10424 Se Cherry Blossom Dr Ste F, Portland, OR 97216-2825 | 2009-01-12 |
| 1346347432 | Brian Douglas Ashdown | Podiatrist | 2605 Willetta St Sw Ste D2, Albany, OR 97321-3451 | 2006-09-20 |
| 1356452247 | Stephen Fekete | Podiatrist | 29756 Sw Town Center Loop W Ste H, Wilsonville, OR 97070-6482 | 2006-08-31 |
| 1811006596 | Joshua P Mitnick | Podiatrist | 8305 Se Monterey Ave., #101, Portland, OR 97266 | 2006-08-29 |
| 1760434674 | David C Greenberg | Podiatrist | 948 Ne 102nd Ave, Suite 103, Portland, OR 97220-4064 | 2006-05-17 |
| 1134102320 | Steven Gary Tillett | Podiatrist | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2005-11-22 |
| 1851383269 | Larry Dean Jensen | Podiatrist | 11815 Sw King James Place, Suite 60, Tigard, OR 97224 | 2005-08-22 |
| 1790295228 | Clarke Podiatry, LLC | Podiatrist | 113 S Main St, Milton Freewater, OR 97862-1342 | 2017-10-11 |
| 1518146984 | Patricia Eileen Cain | Podiatrist | 1510 Division St, Suite 80, Oregon City, OR 97045-1581 | 2007-11-01 |
| 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.