Merlin Leroy Shriner, DO

Individual provider Active NPI Emergency Medicine Physician · Fairfield, TX

NPI 1093735334 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1093735334
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
D3528 (TX)
Practice address
125 Newman St
Fairfield, TX 75840-1419
Phone
(800) 893-9698
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D3528TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Medical Center-Clarksville Past Accepting new patients
Bonham Emergency Medicine LLC Emergency Medicine Past Accepting new patients
Red River Emergency Medicine Associates PA Emergency Medicine Past
since Aug 1, 2006
Accepting new patients
Limestone Emergency PA Emergency Medicine Past Accepting new patients
East Texas Medical Center Healthcare Associates Emergency Medicine Past Accepting new patients
Bonner Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Steve Longacre M.D. PA Emergency Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D3528 TX Yes

Addresses

Primary practice location

125 Newman St
Fairfield, TX 75840-1419

Mailing address

200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870

Other providers in Fairfield, TX

All providers in Fairfield, TX · Emergency Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.