Individual provider Active NPI

William Hensley Merwin Jr., M.D.

  • Specialist
  • Knoxville, TN
National Provider Identifier
1215924691
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000020891 Issued in TN
Practice address
11201 West Point Dr
Suite 103
Knoxville, TN 37934-2833
Phone
(865) 777-1727
Fax
(865) 966-0942
NPI assigned
Sep 30, 2005
Last updated
Apr 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000020891 TN Primary

Addresses

Primary practice location

11201 West Point Dr
Suite 103
Knoxville, TN 37934-2833

Mailing address

11201 West Point Dr
Suite 103
Knoxville, TN 37934-2833
Phone (865) 777-1727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111209000513 TN Practitioner - Otolaryngology 2264607878 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000020891TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Head and Neck Surgery Associates Specialist CurrentSince Jan 1, 1994 Accepting new patients
Merit Anesthesia PLLC CurrentSince Feb 17, 2020 Accepting new patients

Locations

11201 W Point Dr
Ste 103
Knoxville, TN 37934

144 Concord Rd
Knoxville, TN 37934

824 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-8773

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1215924691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 WEST POINT DR",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342833",
            "telephone_number": "865-777-1727",
            "fax_number": "865-966-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 WEST POINT DR",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342833",
            "telephone_number": "865-777-1727",
            "fax_number": "865-966-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERWIN",
        "first_name": "WILLIAM",
        "middle_name": "HENSLEY",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000020891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.