Active NPI
Susan E Mercer, MD
- Family Medicine Physician
- Canton, OH
National Provider Identifier
1003865056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35D48727
- Practice address
- 2600 Sixth Street SW
Aultman Hospital
Canton, OH 44710 - Phone
- (330) 452-9911
- Fax
- (330) 588-4717
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35D48727 | OH | Primary |
Addresses
Primary practice location
2600 Sixth Street SW
Aultman Hospital
Canton, OH 44710
Mailing address
2600 Sixth Street SW
Aultman Hospital
Canton, OH 44710
Phone (330) 452-9911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0513706 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35D48727 | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1003865056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 SIXTH STREET SW",
"address_2": "AULTMAN HOSPITAL",
"city": "CANTON",
"state": "OH",
"postal_code": "44710",
"telephone_number": "330-452-9911",
"fax_number": "330-588-4717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 SIXTH STREET SW",
"address_2": "AULTMAN HOSPITAL",
"city": "CANTON",
"state": "OH",
"postal_code": "44710",
"telephone_number": "330-452-9911",
"fax_number": "330-588-4717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35D48727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0513706",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.