Carol Lorraine Merovka, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

82-259 Issued in NM

Practice address

8210 Louisiana Blvd. NE
Suite C
Albuquerque, NM 87113-1761

Phone

(505) 858-1222

Fax

(505) 858-1224

NPI assigned

Feb 27, 2007

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 2

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1477680536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 LOUISIANA BLVD. NE",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131761",
            "telephone_number": "505-858-1222",
            "fax_number": "505-858-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 LOUISIANA BLVD. NE",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131761",
            "telephone_number": "505-858-1222",
            "fax_number": "505-858-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEROVKA",
        "first_name": "CAROL",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "82-259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID NUMBER",
            "identifier": "850327150",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19281",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merit Family Medicine
• Kate Vellenga Meriwether, M.D.
• Michelle Merlet, PMHNP
• Liza Chytilo Mermelstein, PHD
• Elaine Merola, M.S., CF-SLP
• Michelle Merrett, PA-C
• Stephanie Merrett, SLP
• Kelley Merrick
• Amanda Louise Merrill, BA
• Jane E. Merrill, MS, PT

• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.