Ghulam A Merchant, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Practice address

1045 Martin Luther King Dr
Centralia, IL 62801-3001

Phone

(618) 532-3110

Fax

(618) 532-7226

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366410292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 MARTIN LUTHER KING DR",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013001",
            "telephone_number": "618-532-3110",
            "fax_number": "618-532-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 MARTIN LUTHER KING DR",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013001",
            "telephone_number": "618-532-3110",
            "fax_number": "618-532-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "GHULAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie McKay, PHARMD
• Carolyn K McMurphy-Quick, PA
• Judy Lee McNutt, QMHP
• Meds Inpatient Services Associates, Inc
• Stacy D Menees, FNP
• Janet Rose Merrell, MSN, APN, CNS, BC
• Diane Susan Meyer
• Karis Meyer
• Mikayla Meyer
• Sharon Colleen Meyer, BS CADC

• Pain Medicine (Anesthesiology) Physician in Centralia, IL
• Providers in Centralia, IL by specialty
• Pain Medicine (Anesthesiology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.