DR. CLINTON FRANKLIN MERRILL JR. (NPI# 1992707285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992707285 |
Entity Type | Individual |
Full Name | DR. CLINTON FRANKLIN MERRILL JR. |
Credential | M.D. |
Practice Address |
15 Shrine Club Rd Lander WY 82520-8501 |
Practice Telephone | 3073320324 |
Practice Fax Number | 3073320382 |
Mailing Telephone | 3073320324 |
Mailing Fax Number | 3073320382 |
Enumeration Date | 2005-06-01 |
Last Update Date | 2016-03-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
3277A | WY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | 141495000 | 05 | |
NE | 10025668100 | 05 | |
WY | MEDICARE PTAN (WY) | W27189 | 01 |
WY | WYOMING MEDICAL LICENSE | 3277A | 01 |
WY | BCBS | 311538 | 01 |
CO | 63235552 | 05 |
Street Address |
15 SHRINE CLUB RD |
City | LANDER |
State | WY |
Zip Code | 82520-8501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750626545 | Katarzyna Bernat Voorhies | Massage Therapist | 15 Shrine Club Rd, Lander, WY 82520-9404 | 2012-12-05 |
1275702938 | Acuhealth Inc | Acupuncturist | 15 Shrine Club Rd, Lander, WY 82520 | 2008-02-27 |
1306032354 | Wendy Michelle Gebhart | Naturopath | 15 Shrine Club Rd, Lander, WY 82520-9404 | 2007-09-23 |
1881788180 | Melissa Am Hertler | Otolaryngology | 15 Shrine Club Rd, Ste B, Lander, WY 82520-8502 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689288201 | Wind River Wraparound | Community/Behavioral Health | 16 Sandhills Rd., Lander, WY 82520 | 2020-09-01 |
1346700622 | Wind River Family & Community Health Care | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 510 Ethete Rd., Ethete, WY 82520 | 2019-03-22 |
1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
1780103614 | John Thomas Scarince | Case Manager/Care Coordinator | 748 Main, Lander, WY 82520 | 2017-09-12 |
1326560780 | Benessere Clinic LLC | Specialist | 195 Capitol St., Lander, WY 82520 | 2017-07-07 |
1881134500 | Susan Kreager | Nutritionist | 643 Blue Sky Hwy 132, Ethete, WY 82520 | 2017-02-28 |
1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
1649640368 | Melinda Kay Cox | Day Training, Developmentally Disabled Services | 382 Washakie, Lander, WY 82520 | 2015-10-07 |
1942602677 | Carmen Champlin | Registered Nurse | 397 S 5th, Lander, WY 82520 | 2014-09-25 |
1366867806 | Kelly Johnson | Social Worker | 7324 Highway 789, Lander, WY 82520 | 2014-02-20 |
Find all providers in zip 82520 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083865554 | Riverton Physician Practices LLC | Internal Medicine | 1035 Rose Ln, Suite D, Riverton, WY 82501-2286 | 2008-10-02 |
1366594152 | Hematology Oncology Centers of The Northern Rockies PC | Internal Medicine | 532 Val Vista St Ste 103, Sheridan, WY 82801-3655 | 2007-01-18 |
1215041611 | Cheyenne Hematology-oncology Services PC | Internal Medicine | 421 East 17th Street, Cheyenne Hematology-oncology Services PC, Cheyenne, WY 82001-4609 | 2006-08-19 |
1467418905 | Mohamed El-sayed El-tarabily | Internal Medicine | 310 E 24th St, Cheyenne, WY 82001-3126 | 2006-04-25 |
1467433979 | Tom Anderson | Internal Medicine | 1025 9th St, #b, Cody, WY 82414-3441 | 2005-11-10 |
1760734602 | St. Vincent Healthcare | Internal Medicine | 1025 9th St, Ste B, Cody, WY 82414-3441 | 2012-10-02 |
1619236791 | Riverton Physician Practices LLC | Internal Medicine | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2012-05-10 |
1598096182 | Natalie Alana Workman | Internal Medicine | 310 E 24th St, Cheyenne, WY 82001-3126 | 2010-01-20 |
1104065200 | Riverton Oncology Practice,llc | Internal Medicine | 1035 Rose Ln, Ste D, Riverton, WY 82501-2286 | 2009-02-12 |
1013193705 | Kellie Elizabeth Flippin | Internal Medicine | 6501 E 2nd St, Casper, WY 82609-4293 | 2008-01-14 |
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.