MERRICK PLASTIC AND HAND SURGERY SC (NPI# 1740424209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740424209 |
| Entity Type | Organization |
| Organization Name | MERRICK PLASTIC AND HAND SURGERY SC |
| Practice Address |
719 W Hamilton Ave Ste A Eau Claire WI 54701-6970 |
| Practice Telephone | 7155142558 |
| Practice Fax Number | 7155142558 |
| Mailing Telephone | 7155142550 |
| Mailing Fax Number | 7155142558 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | JOHN CLINTON MERRICK, MD (PRESIDENT) |
| Authorized Official Telephone | 7155142550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
48417-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34672400 | 05 |
| Street Address |
719 W HAMILTON AVE STE A |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215915426 | John Clinton Merrick | Specialist | 719 W Hamilton Ave Ste A, Eau Claire, WI 54701-6970 | 2006-01-06 |
| 1841324795 | Hesse Foot & Ankle Clinic, S.c. | Podiatrist | 719 W Hamilton Ave Ste A, Eau Claire, WI 54701-6970 | 2007-03-15 |
| 1477532091 | David F Hesse | Podiatrist | 719 W Hamilton Ave Ste A, Eau Claire, WI 54701-6970 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881604049 | Michael Birndorf | Plastic Surgery | 6308 8th Ave # 104, Kenosha, WI 53143-5031 | 2006-08-09 |
| 1497794465 | Hand To Shoulder Specialists of Wisconsin Ltd | Plastic Surgery | 525 W River Woods Pkwy Ste 230, Glendale, WI 53212-1010 | 2006-06-05 |
| 1093296253 | Liqin Xu | Plastic Surgery | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2018-08-26 |
| 1831457860 | Jenna Cusic | Plastic Surgery | N4w22370 Bluemound Rd, Waukesha, WI 53186-1683 | 2012-04-27 |
| 1922328921 | Brian Christopher Hill | Plastic Surgery | 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158-2118 | 2010-06-02 |
| 1730251331 | Terrence J Wilkins | Plastic Surgery | 2350 N Lake Dr, Suite 501, Milwaukee, WI 53211-4528 | 2006-11-15 |
| 1629079579 | Norman D Buebendorf | Plastic Surgery | 2500 N Mayfair Rd, Suite 670, Milwaukee, WI 53226-1409 | 2005-08-02 |
| 1609877539 | Curtis A Crimmins | Plastic Surgery | 2500 N Mayfair Rd, Suite 670, Milwaukee, WI 53226-1409 | 2005-08-02 |
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.