Mariolga Mercado DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4101 Issued in OK

Legal business name

MARIOLGA MERCADO DO PC

Doing business as

Mari Mercado, D.O.

Practice address

1615 S Eucalyptus Ave
Suite 211
Broken Arrow, OK 74012-5990

Phone

(918) 369-5505

Fax

(918) 369-5508

NPI assigned

Jul 3, 2007

Last updated

Jul 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mariolga Mercado, D.O.NPI 1861452575

Title

President

Phone

(918) 369-5505

Specialties & licenses 1

Addresses

Other names 1

• Mari Mercado, D.O. Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mariolga Mercado, D.O.

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1861452575
  NPD (past) Authorized official

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1114125911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 S EUCALYPTUS AVE",
            "address_2": "SUITE 211",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125990",
            "telephone_number": "918-369-5505",
            "fax_number": "918-369-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S EUCALYPTUS AVE",
            "address_2": "SUITE 211",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125990",
            "telephone_number": "918-369-5505",
            "fax_number": "918-369-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIOLGA MERCADO DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "MARIOLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-369-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mari Mercado, D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manhattan Management Counseling and Consulting LLC
• Amber Melissa Mansfield, BHRS
• Lauren Mansour, CNA, CHHA, LTC
• Sarah Mansur, RN
• Brittney Aryanna Mariano
• Chloe Elizabeth Marouk, MS
• Colin A Marouk, D.O.
• Veronica Marquez
• Preslie Elizabeth Marraccini
• Mackenzie Jo Marrs

• Family Medicine Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.