Jonas Merrill, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0004661 Issued in MD

Practice address

12252 Williams Rd SE
Cumberland, MD 21502-7960

Phone

(240) 362-7333

Fax

(240) 362-7391

NPI assigned

Jan 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonasm@clinic.direct.forkshospital.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beaver Urgent Care

  • Urgent Care Clinic/Center
  • Beaver, WA
  • NPI 1114619384
  NPD Authorized official
• Clallam County Public Hospital District No 1

  • Rural Health Clinic/Center
  • Forks, WA
  • NPI 1285683052
  NPD

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1013287002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12252 WILLIAMS RD SE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215027960",
            "telephone_number": "240-362-7333",
            "fax_number": "240-362-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12252 WILLIAMS RD SE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215027960",
            "telephone_number": "240-362-7333",
            "fax_number": "240-362-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "JONAS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noriecel Dimayuga Mendoza, M.D.
• Cheriann Menges, LMSW
• Mep Observation Services LLC
• Meritus Medical Center Inc
• Candace Lucia Merrill
• Chase Samuel Messick
• Lynn Metcalf, FNP-BC
• Melanie Scott Meyer, CRNA
• Rebecca Meyers, CAC-AD
• Amanda D Michael, LGPC

• Physician Assistant in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.