Tara L Mercer, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

8327A Issued in WY

Practice address

1005 College View Dr
Riverton, WY 82501-2289

Phone

(307) 857-3488

Fax

(307) 857-5215

NPI assigned

May 6, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Lander Valley Physician Practices, LLC

  • Psychiatry Physician
  • Lander, WY
  • NPI 1215971510
  NPD (past)
• Riverton Physician Practices, LLC

  • Emergency Medicine Physician
  • Riverton, WY
  • NPI 1205875614
  NPD (past)
• Aurelio Etcheverry D O P C

  • Pediatrics Physician
  • Grand Junction, CO
  • NPI 1811363583
  NPD (past)
• Dino-Peds Management Group

  • Pediatric Nurse Practitioner
  • Grand Junction, CO
  • NPI 1386924769
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1649598269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 COLLEGE VIEW DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012289",
            "telephone_number": "307-857-3488",
            "fax_number": "307-857-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 COLLEGE VIEW DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012289",
            "telephone_number": "307-857-3488",
            "fax_number": "307-857-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "TARA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "8327A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James F. McFarlane, D.D.S.
• Marc Douglas McLaughlin, PH.D.
• Jeffrey L McMenamy, OTR
• Samual Andreas McMenamy, PT, DPT
• Guy Salisbury Menefee, DDS
• Gregary E Meredith, LPC
• Sara E Michael, P.A.
• Michaela R Sisneros
• Holly Miller, CASE MANAGER
• Mara Mills, M.S.

• Pediatrics Physician in Riverton, WY
• Providers in Riverton, WY by specialty
• Pediatrics Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.