CHARMAINE MARY MERCADO (NPI# 1710353842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710353842 |
| Entity Type | Individual |
| Full Name | CHARMAINE MARY MERCADO |
| Credential | NP |
| Practice Address |
6940 Michigan Rd Indianapolis IN 46268-2800 |
| Practice Telephone | 3172662901 |
| Mailing Telephone | 3172662901 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2018-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
71007931A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP128590 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 308 S Cesar Chavez Ave, Crystal City, TX 788394200 | 8303742301 | 8303749368 |
| Street Address |
6940 MICHIGAN RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46268-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669439055 | James D Fortenberry | Internal Medicine | 6940 Michigan Rd, Indianapolis, IN 46268-2800 | 2006-04-28 |
| 1922648997 | Emily Fischer | Nurse Practitioner | 6940 Michigan Rd, Indianapolis, IN 46268-2800 | 2020-01-08 |
| 1174940340 | Eric Puster | Pediatrics | 6940 Michigan Rd, Indianapolis, IN 46268-2800 | 2014-03-25 |
| 1467637256 | Health & Hospital Corporation | Public Health or Welfare | 6940 Michigan Rd, Indianapolis, IN 46268-2800 | 2007-12-31 |
| 1225225931 | Sarah A Schwen | Family Medicine | 6940 Michigan Rd, Indianapolis, IN 46268-2800 | 2007-09-26 |
| 1528263076 | Cynthia J Countryman | Nurse Practitioner | 6940 Michigan Rd, Suite 140, Indianapolis, IN 46268-2800 | 2007-06-15 |
| 1225230865 | The Health and Hospital Corporation of Marion County | Pharmacy | 6940 Michigan Rd, Indianapolis, IN 46268 | 2007-06-05 |
| 1003865478 | Sue E Gaebler | Nurse Practitioner | 6940 Michigan Rd, Ste 140, Indianapolis, IN 46268-2800 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083116552 | Advantage Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 7710 Moller Rd, Indianapolis, IN 46268 | 2018-03-01 |
| 1285132324 | Seth Cochrill | Orthotist | 3445 W. 96th St., Indianapolis, IN 46268 | 2018-01-23 |
| 1902323371 | Erica Outlaw | Behavioral Analyst | 7732 Bancaster Drive, Indianapolis, IN 46268 | 2017-08-27 |
| 1649518135 | Phlebotomy Connection, LLC | Clinical Medical Laboratory | 3806 West 86th St, Suite B, Indianapolis, IN 46268 | 2013-01-18 |
| 1124377924 | Planned Parenthood of Indiana Georgetown | Clinic/Center | 8590 Georgetown Rd., Indianapolis, IN 46268 | 2012-09-07 |
| 1255621561 | National Mentor Healthcare, LLC | Custodial Care Facility | 2815 Spring Meadow Ct, Indianapolis, IN 46268 | 2011-04-08 |
| 1306009485 | Augusta Dental Office, P.C. | Dentist | 7141 N. Michigan Rd, Indianapolis, IN 46268 | 2008-07-08 |
| 1326242058 | Cletis R Foster | Dentist | 3810 W 86th Street, Indpls, IN 46268 | 2007-06-14 |
| 1871717041 | Home Health Care Services LLC | Home Health | 5455 West 86th Street, Ste 200, Indianapolis, IN 46268 | 2007-04-12 |
| 1699895995 | Preferred Dental Care, PC | Dentist | 8280 North Michigan Rd, Suite A, Indianapolis, IN 46268 | 2007-03-30 |
| Find all providers in zip 46268 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822844 | Kelsey M Knight | Nurse Practitioner | 705 Riley Hospital Dr Ste 1601, Indianapolis, IN 46202-5109 | 2020-08-21 |
| 1427594696 | Alecia A Woody | Nurse Practitioner | 3400 Lafayette Rd, Suite 200, Shalom Health Care Center Inc, Indianapolis, IN 46222-1146 | 2017-01-12 |
| 1710230388 | Nicole Lois Mohr-eslinger | Nurse Practitioner | 8010 E 75th St, Indianapolis, IN 46256-2003 | 2012-10-19 |
| 1952650673 | Juliann Kay Kiefer | Nurse Practitioner | 705 Riley Hospital Dr # 4340, Indianapolis, IN 46202-5109 | 2012-09-10 |
| 1184911588 | Paul G Dengler | Nurse Practitioner | 2451 N Keystone Ave, Indianapolis, IN 46218-3503 | 2011-07-06 |
| 1710296629 | Katherine Magoon | Nurse Practitioner | 2001 W 86th St Fl 3, Indianapolis, IN 46260-1902 | 2010-09-27 |
| 1669701629 | Indianapolis Neurosurgical Group | Nurse Practitioner | 702 Riley Hospital Dr, Suite 1134, Indianapolis, IN 46202-5139 | 2009-12-21 |
| 1508191750 | Allison Rose Hammer | Nurse Practitioner | 575 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5272 | 2009-10-06 |
| 1225298227 | Sharon Kaye Tormoehlen | Nurse Practitioner | 702 Barnhill Dr Rm 4340, Indianapolis, IN 46202-5128 | 2008-06-12 |
| 1639351745 | Elissa A. Jones-hua | Nurse Practitioner | 2802 Lafayette Rd, Suite 13, Indianapolis, IN 46222-2157 | 2007-11-30 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46268 |
Please comment or provide details below to improve the information on CHARMAINE MARY MERCADO.
| 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.