DR. CLINTON FRANKLIN MERRILL JR.


Address: 15 Shrine Club Rd, Lander, WY 82520-8501
Phone: 3073320324

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
3277A WY Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 15 SHRINE CLUB RD
City LANDER
State WY
Zip Code 82520-8501

Providers in the same location

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

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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
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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
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and state

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
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Competitor

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City LANDER
Zip Code 82520

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Dataset Information

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.

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