Clinton F Merrill MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

3277A Issued in WY

Legal business name

CLINTON F MERRILL MD PC

Practice address

255 N 30TH St
Laramie, WY 82072-5140

Phone

(307) 742-7586

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Clinton F Merrill, MDNPI 1992707285

Title

President

Phone

(307) 742-7586

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Clinton Franklin Merrill Jr., M.D.

  • Hematology & Oncology Physician
  • Lander, WY
  • NPI 1992707285
  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164645214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725140",
            "telephone_number": "307-742-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725140",
            "telephone_number": "307-742-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON F MERRILL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-742-7586",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WY",
            "license": "3277A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992707285",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan R Claude, DPT, CSCS, CMTPT
• Kelli Clay, M.S.
• Stacy Claycomb
• Heather Clemens
• Callie Clingman
• Brenda Clinton
• David Closner
• David G Cloyd, MD
• Clure Brothers Furniture
• Helen M Coates, MD

• Specialist in Laramie, WY
• Providers in Laramie, WY by specialty
• Specialist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.