Mercyland Medical Management, PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

MERCYLAND MEDICAL MANAGEMENT, PLLC

Practice address

16000 W 9 Mile Rd Ste 408
Southfield, MI 48075-4839

Phone

(248) 432-1568

Fax

(248) 493-6155

NPI assigned

Mar 21, 2023

Organization subpart

No

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

Authorized official

Name

Eddie S Key III

Title

Office Manager

Phone

(248) 432-1568

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1285336362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 W 9 MILE RD STE 408",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754839",
            "telephone_number": "248-432-1568",
            "fax_number": "248-493-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 W 9 MILE RD STE 408",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754839",
            "telephone_number": "248-432-1568",
            "fax_number": "248-493-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYLAND MEDICAL MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "KEY III",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-432-1568"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merciful Home Care, LLC
• Mercy Home Health Care LLC
• Mercy Homecare, Inc.
• Mercy Internal Medicine PLLC
• Mercy LTC Pharmacy LLC
• Meridian Human Services
• Milagros Merino
• Paul William Merritt
• Timothy Mervak, MD
• Tyler Merz

• Pain Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Pain Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.