Active NPI
Janis Maryan Mercker, MD
- Diagnostic Radiology Physician
- Everett, WA
National Provider Identifier
1124164900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00016263
- Practice address
- 728 134TH St SW
Suite 120
Everett, WA 98204-5322 - Phone
- (425) 297-6200
- Fax
- (425) 297-6250
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD00016263 | WA | Primary |
Addresses
Primary practice location
728 134TH St SW
Suite 120
Everett, WA 98204-5322
Mailing address
18009 13TH Ave NW
Shoreline, WA 98177-3203
Phone (206) 542-5407
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00016263 | WA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124164900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18009 13TH AVE NW",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981773203",
"telephone_number": "206-542-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 134TH ST SW",
"address_2": "SUITE 120",
"city": "EVERETT",
"state": "WA",
"postal_code": "982045322",
"telephone_number": "425-297-6200",
"fax_number": "425-297-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCKER",
"first_name": "JANIS",
"middle_name": "MARYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00016263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.