Angela Marie Merso

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

4154 N Mackinaw Rd
Pinconning, MI 48650-8435

Phone

(989) 907-1705

NPI assigned

Sep 29, 2016

Last updated

Sep 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Marie Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1144779240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4154 N MACKINAW RD",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486508435",
            "telephone_number": "989-907-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 N MACKINAW RD",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486508435",
            "telephone_number": "989-907-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSO",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WILLIAMS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Donald Idzior, CRNA
• Susan Kay Kruzell, R.N. , CWCN
• Raymond A Lalonde, O.D.
• Mariah Jean Largent
• Mikayla R Merithew
• Rhonda Renee Mesecar, LPN
• Carissa Meyers, D.C.
• Christy Sue Morand, MA, LPC
• Tammy Marie Neely, C. PED., COA
• Northern Bay Ambulance and Rescue Service of Michigan (Northern Bay Ambulance)

• Other Technician in Pinconning, MI
• Providers in Pinconning, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.