Merlyn Dean Smith, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2010 Issued in AZ

Practice address

606 N Country Club Dr
#1 Clinic of Physicians and Surgeons
Mesa, AZ 85201-5700

Phone

(480) 733-4400

Fax

(480) 969-0976

NPI assigned

Aug 11, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1275544322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N COUNTRY CLUB DR",
            "address_2": "#1 CLINIC OF PHYSICIANS AND SURGEONS",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015700",
            "telephone_number": "480-733-4400",
            "fax_number": "480-969-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N COUNTRY CLUB DR",
            "address_2": "#1 CLINIC OF PHYSICIANS AND SURGEONS",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015700",
            "telephone_number": "480-733-4400",
            "fax_number": "480-969-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MERLYN",
        "middle_name": "DEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2010",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "2010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278350",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marvin Smith
• Megan Milleen Smith, AGACNP
• Meghan Leigh Smith
• Melissa K Smith, M.S.
• Mercedes Smith
• Michael Smith, PA-C
• Mylena Dashaun Smith
• Nathan Wadsworth Smith, DMD
• Quentin Smith, D.C.
• Reneau M Smith, BHT

• Surgery Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.