Arthur Nelson Merrell, MD
Individual provider Active NPI Psychiatry Physician · Cheyenne, WY
NPI 1356340855 · NPPES record last updated Mar 14, 2011
Key facts
- NPI
- 1356340855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 2361A (WY)
- Practice address
- 2526 Seymour Ave
Cheyenne, WY 82001-3159 - Phone
- (307) 634-9653
- Fax
- (307) 638-8256
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2361A | WY | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2361A | WY | Yes |
| Addiction Psychiatry Physician | 2084P0802X | 2361A | WY | |
| Forensic Psychiatry Physician | 2084F0202X | 2361A | WY |
Addresses
Primary practice location
2526 Seymour Ave
Cheyenne, WY 82001-3159
Mailing address
2526 Seymour Ave
Cheyenne, WY 82001-3159
Phone (307) 634-9653
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260012308 | Other | RAILROAD MEDICARE | |
| 305052 | Other | WY | BLUE SHIELD |
Other providers in Cheyenne, WY
- Memorial Hospital of Laramie County
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- Memorial Hospital of Laramie County
- Memorial Hospital of Laramie County
- Megan Marie Mendoza
- Montanna Lee Merrick
- Brendelyn Merritt
- Emily Metcalf
- Maxamillion Anthony Mettler
- Brittany Metz
All providers in Cheyenne, WY · Psychiatry Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.