Dr. Tracy a. Merrell, D.P.M., P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

484 Issued in TN

Legal business name

DR. TRACY A. MERRELL, D.P.M., P.C.

Practice address

1747 Medical Center Pkwy
Suite 100
Murfreesboro, TN 37129-2563

Phone

(615) 848-1902

NPI assigned

Jun 23, 2009

Last updated

Jun 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Alan Merrell, D.P.M.NPI 1275515223

Title

Owner

Phone

(615) 848-1902

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy Alan Merrell, DPM

  • Podiatrist
  • Murfreesboro, TN
  • NPI 1275515223
  Medicare reassignment NPD Authorized official
• Jillian Allison Teslow Rickertsen, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
  • NPI 1811423460

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1639307101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 MEDICAL CENTER PKWY",
            "address_2": "SUITE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292563",
            "telephone_number": "615-848-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 MEDICAL CENTER PKWY",
            "address_2": "SUITE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292563",
            "telephone_number": "615-848-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TRACY A. MERRELL, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "MERRELL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-848-1902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.