Active NPI
Wayne Joseph Merback, M.D.
- Pediatrics Physician
- Corvallis, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD180546
- Practice address
- 3600 NW Samaritan Dr
Corvallis, OR 97330-3737 - Phone
- (541) 768-5111
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD180546 | OR | Primary |
| Pediatrics Physician | 208000000X | 01063156A | IN |
Addresses
Primary practice location
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
301 N 1st St Bldg 46
Altus AFB, OK 73523-5004
Phone (580) 481-6698
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wmerback215909@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01063156A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie Physician Services LLC | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc. | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850
1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906
930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244
1460 G St
Springfield, OR 97477
Phone (541) 431-0665
Interoperability endpoints
- wmerback@yourcarecommunity.org
Organizations & group practices 11
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.
-
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
- General Acute Care Hospital
- Corvallis, OR
- NPI 1962453134
-
- Critical Access Hospital
- Newport, OR
- NPI 1801847066
-
- Physical Medicine & Rehabilitation Physician
- Newport, OR
- NPI 1174888010
-
- Family Medicine Physician
- Albany, OR
- NPI 1013273275
-
- Family Medicine Physician
- Albany, OR
- NPI 1306679816
-
- Internal Medicine Physician
- Corvallis, OR
- NPI 1063787851
-
- Gynecologic Oncology Physician
- Corvallis, OR
- NPI 1710787916
-
- Rural Health Clinic/Center
- Depoe Bay, OR
- NPI 1164781142
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1093924441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 NW SAMARITAN DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303737",
"telephone_number": "541-768-5111"
}
],
"practiceLocations": [
{
"address_1": "301 N 1st St Bldg 46",
"address_purpose": "LOCATION",
"city": "Altus AFB",
"state": "OK",
"postal_code": "735235004",
"country_code": "US",
"telephone_number": "580-481-6698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERBACK",
"first_name": "WAYNE",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD180546",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01063156A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wmerback215909@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3600 NW Samaritan Dr",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973303737",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.