Merrie Viscarra, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036113267 Issued in IL

Practice address

1530 N Randall Rd Ste 210
Elgin, IL 60123-7879

Phone

(224) 760-7322

Fax

(224) 535-8252

NPI assigned

Sep 23, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1003802281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "414-858-4106",
            "fax_number": "414-423-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N RANDALL RD STE 210",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237879",
            "telephone_number": "224-760-7322",
            "fax_number": "224-535-8252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 Larkin Ave",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601235827",
            "country_code": "US",
            "telephone_number": "847-289-5727",
            "fax_number": "847-888-5469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Larkin Ave",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "60123",
            "country_code": "US",
            "telephone_number": "847-289-5727",
            "fax_number": "847-888-5469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Larkin Ave",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "60123",
            "country_code": "US",
            "telephone_number": "847-289-5727",
            "fax_number": "847-888-5469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISCARRA",
        "first_name": "MERRIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036113267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036113267",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "1633786",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00255743",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guadalupe Villagomez Ortiz
• Carol Villanueva-Perez
• Bernice Villegas
• Michael Allen Vinarsky, CEO
• Katherine Anne Virnig, PA-C
• Elizabeth Vischer, LCPC, LMHC
• Jeremy Vischer
• Brandy Lynn Vishnesky
• Taylor Nicole Vitacco
• Vna Health Care

• Physical Medicine & Rehabilitation Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.