Active NPI
Merry Medical Team
- Family Medicine Physician
- Minden, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MERRY MEDICAL TEAM
- Practice address
- 1649 Lucerne St
Ste a & B
Minden, NV 89423-4363 - Phone
- (775) 782-1603
- Fax
- (775) 782-3427
- NPI assigned
- Feb 23, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Gordon Merry, MD
- Title
- President
- Phone
- (775) 782-1603
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NV | Primary | |
| Internal Medicine Physician | 207R00000X | NU | ||
| Pediatrics Physician | 208000000X | NU |
Addresses
Primary practice location
1649 Lucerne St
Ste a & B
Minden, NV 89423-4363
Mailing address
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Phone (530) 543-5659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100506316 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
1077 4th St
Ste 2
South Lake Tahoe, CA 96150
1107 US Highway 395 N
Ste C
Gardnerville, NV 89410
Phone (775) 782-1603
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- Minden, NV
- NPI 1689648719
-
- Family Medicine Physician
- Gardnerville, NV
- NPI 1346246949
-
- Internal Medicine Physician
- Minden, NV
- NPI 1912971391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1194791962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 EMERALD BAY RD",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961506207",
"telephone_number": "530-543-5659",
"fax_number": "530-541-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1649 LUCERNE ST",
"address_2": "STE A & B",
"city": "MINDEN",
"state": "NV",
"postal_code": "894234363",
"telephone_number": "775-782-1603",
"fax_number": "775-782-3427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERRY MEDICAL TEAM",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-23",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MERRY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "GORDON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "775-782-1603",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100506316",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minden, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.