NPIMap

Individual provider Active NPI

James Allyn Merrell, MD

  • Otolaryngology Physician
  • Grand Junction, CO
National Provider Identifier
1134330434
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
46295 Issued in CO
Practice address
2643 Patterson Rd
Suite 503
Grand Junction, CO 81506
Phone
(970) 245-2400
Fax
(970) 242-9092
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 57006963 OH
Otolaryngology Physician 207Y00000X 46295 CO Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 46295 CO

Addresses

Primary practice location

2643 Patterson Rd
Suite 503
Grand Junction, CO 81506

Mailing address

2643 Patterson Rd
Suite 503
Grand Junction, CO 81506
Phone (970) 245-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000047 CO Practitioner - Otolaryngology 2567537707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Cincinnati College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado West Otolaryngologists PCGroup PAC ID 1658363981, 21 clinicians

Practice addresses (Care Compare)

2515 Foresight Cir
Suite 200
Grand Junction, CO 81505-1018
Phone (970) 245-2400

2515 Foresight Circle
Suite 200
Grand Junction, CO 81505-1018

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Family Health West Hospital Hospital, Fruita, CO, CCN 061302
  • Community Hospital Hospital, Grand Junction, CO, CCN 060054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57006963OHMDOtolaryngology Physician
46295COMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Otolaryngologists PC Otolaryngology CurrentSince Jul 21, 2008 Accepting new patients
Colorado West Otolaryngologists PC Otolaryngology CurrentSince Jul 21, 2008 Accepting new patients

Locations

2643 Patterson Rd
Ste 503
Grand Junction, CO 81506
Phone (970) 245-2400

2515 Foresight Cir
Unit 200
Grand Junction, CO 81505
Phone (970) 245-2400

Interoperability endpoints

  • Direct secure messaging: jamesmerrell@cwo.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1134330434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 PATTERSON RD",
            "address_2": "SUITE 503",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81506",
            "telephone_number": "970-245-2400",
            "fax_number": "970-242-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 PATTERSON RD",
            "address_2": "SUITE 503",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81506",
            "telephone_number": "970-245-2400",
            "fax_number": "970-242-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRELL",
        "first_name": "JAMES",
        "middle_name": "ALLYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "57006963",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "46295",
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CO",
            "license": "46295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.