Active NPI
Rodney Stephen Merrill, DO
- Obstetrics & Gynecology Physician
- Ogden, UT
National Provider Identifier
1265591697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 3708201204
- Practice address
- 434 E 5350 S
Suite a
Ogden, UT 84405-5418 - Phone
- (801) 479-1641
- Fax
- (801) 476-8538
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 3708201204 | UT | Primary |
Addresses
Primary practice location
434 E 5350 S
Suite a
Ogden, UT 84405-5418
Mailing address
434 E 5350 S
Suite a
Ogden, UT 84405-5418
Phone (801) 479-1641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3708201204 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James W Starley MD a Professional Corporation | Past | Accepting new patients | |
| Utah Imaging Associates Inc | Past | Accepting new patients |
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.
-
- Specialist
- Ogden, UT
- NPI 1477852994
-
- Diagnostic Radiology Physician
- Farmington, UT
- NPI 1629076229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1265591697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 E 5350 S",
"address_2": "SUITE A",
"city": "OGDEN",
"state": "UT",
"postal_code": "844055418",
"telephone_number": "801-479-1641",
"fax_number": "801-476-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 E 5350 S",
"address_2": "SUITE A",
"city": "OGDEN",
"state": "UT",
"postal_code": "844055418",
"telephone_number": "801-479-1641",
"fax_number": "801-476-8538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "RODNEY",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "3708201204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.