Timothy Dan Mergens, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18174 Issued in NE

Practice address

2717 N 118TH Cir
300
Omaha, NE 68164-9688

Phone

(402) 445-5569

Fax

(800) 289-0610

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: timothy.mergens.1@23757.direct.athenahealth.com

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376697250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 S 167TH CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681355361",
            "telephone_number": "402-445-5569",
            "fax_number": "800-289-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N 118TH CIR",
            "address_2": "300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681649688",
            "telephone_number": "402-445-5569",
            "fax_number": "800-289-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERGENS",
        "first_name": "TIMOTHY",
        "middle_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "18174",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "34443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecka Meredith
• Yolaine Meredith
• Mary Jo Jo Merfeld, A.P.R.N.
• Veronica Brennan Mergen, DNP, APRN, FNP-C
• Sarah Mergens, MSW
• Melissa Merida Ruiz
• Jacqueline Meriwether
• Katherine B Merkley, PH.D.
• Samanta Merkuris
• Erin Ruth Merrell, APRN

• Internal Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Internal Medicine Physician in Nebraska

• 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.