Active NPI
Thomas E Merchant, DO
- Radiation Oncology Physician
- Memphis, TN
National Provider Identifier
1518960392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 01135
- Practice address
- 262 Danny Thomas PL # Ms 0515
Memphis, TN 38105-3678 - Phone
- (901) 595-3006
- Fax
- (901) 595-3842
- NPI assigned
- May 24, 2005
- Last updated
- Jan 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 01135 | TN | Primary |
Addresses
Primary practice location
262 Danny Thomas PL # Ms 0515
Memphis, TN 38105-3678
Mailing address
262 Danny Thomas Place Ms 0515
St. Jude Children's Research Hospital
Memphis, TN 38105-3678
Phone (901) 595-3006
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100345630B | Medicaid | KS | |
| 245028600 | Medicaid | MO | |
| 00118062 | Medicaid | MS | |
| 64926934 | Medicaid | KY | |
| 0529107 | Medicaid | IA | |
| 200179760A | Medicaid | IN | |
| 422400000 | Medicaid | ME | |
| 009914390 | Medicaid | AL | |
| 100249681-00 | Medicaid | NE | |
| 1534714 | Medicaid | LA | |
| 114670490 | Medicaid | MI | |
| 2007616 | Medicaid | OH | |
| 113856909A | Medicaid | GA | |
| 3304767 | Medicaid | TN | |
| 7612399 | Medicaid | NC | |
| 01365315-03 | Medicaid | NY | |
| 565955 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01135 | TN | MD | Radiation Oncology Physician |
| 1135 | TN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Jude Children's Research Hospital, Inc. | Current | Accepting new patients |
Locations
262 Danny Thomas Pl
Memphis, TN 38105
Phone (888) 226-4343
262 Danny Thomas Pl
#515
Memphis, TN 38105
Phone (901) 595-3006
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1306335088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1518960392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 DANNY THOMAS PLACE MS 0515",
"address_2": "ST. JUDE CHILDREN'S RESEARCH HOSPITAL",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381053678",
"telephone_number": "901-595-3006",
"fax_number": "901-595-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 DANNY THOMAS PL # MS 0515",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381053678",
"telephone_number": "901-595-3006",
"fax_number": "901-595-3842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCHANT",
"first_name": "THOMAS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "01135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100345630B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "245028600",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00118062",
"state": "MS"
},
{
"code": "05",
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"issuer": null,
"identifier": "64926934",
"state": "KY"
},
{
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"issuer": null,
"identifier": "0529107",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200179760A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "422400000",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009914390",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100249681-00",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1534714",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114670490",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2007616",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113856909A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3304767",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7612399",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01365315-03",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "565955",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Katherine Mendez, SLP
- Colleen Alexis Menegaz, MD
- Sasha Maria Menon, MBBS
- Melinda S Menser, LCSW
- Mental Health Centers and Clinics of Tennessee (Whitehaven Southwest Mental Health Center, Inc.)
- Mercy Home Health Care LLC
- Mercy Home Health Care LLC
- Erin B Meredith, NP
- Madison Meredith
- Nicole Tabrizi Meredith, APN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.