Angela Myra Mercer, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101036323 Issued in VA

Practice address

1401 Tidewater Dr
Suite 1
Norfolk, VA 23504-2840

Phone

(757) 623-0095

Fax

(757) 623-1203

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Prince William Neurology Center Inc

  • Neurology Physician
  • Woodbridge, VA
  • NPI 1174829832
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366494494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 BRIARWOOD PT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 TIDEWATER DR",
            "address_2": "SUITE 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042840",
            "telephone_number": "757-623-0095",
            "fax_number": "757-623-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "ANGELA",
        "middle_name": "MYRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101036323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "42036",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010198801",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "176498",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Mendoza
• Austin Menezes, MD
• Maya Menon, MD
• Merakey Allos
• James W Merced Sr.
• Frank Mercer III, DPM
• Madonna Renee Merchant
• Elizabeth H Meredith, MD
• Merge Strong LLC
• Mermaid Counseling and Consulting LLC

• Internal Medicine Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Internal Medicine Physician in Virginia

• 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.