Active NPI
Robert Don Merrill, DO
- General Practice Physician
- Las Vegas, NV
National Provider Identifier
1669491031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- DO3051
- Practice address
- 517 Rose St
Las Vegas, NV 89106-4020 - Phone
- (702) 438-4692
- Fax
- (702) 485-2372
- NPI assigned
- Jul 18, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5583587-1204 | UT | |
| Obstetrics & Gynecology Physician | 207V00000X | PENDING | NV | |
| General Practice Physician | 208D00000X | DO3051 | NV | Primary |
Addresses
Primary practice location
517 Rose St
Las Vegas, NV 89106-4020
Mailing address
2615 W Dry Creek Dr
Riverton, UT 84065-6768
Phone (801) 995-9933
Other practice location 1
3930 W Ann Rd
North Las Vegas, NV 89031-3841
Phone (702) 438-4692
Other practice location 2
6250 N Durango Dr
Las Vegas, NV 89149-3916
Phone (702) 438-4692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5583587-1204 | UT | MD | Obstetrics & Gynecology Physician |
| DO3051 | NV | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1669491031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 W DRY CREEK DR",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840656768",
"telephone_number": "801-995-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 ROSE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064020",
"telephone_number": "702-438-4692",
"fax_number": "702-485-2372"
}
],
"practiceLocations": [
{
"address_1": "3930 W Ann Rd",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890313841",
"country_code": "US",
"telephone_number": "702-438-4692",
"fax_number": "702-485-2372",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6250 N Durango Dr",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891493916",
"country_code": "US",
"telephone_number": "702-438-4692",
"fax_number": "702-485-2372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERRILL",
"first_name": "ROBERT",
"middle_name": "DON",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "5583587-1204",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NV",
"license": "PENDING",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NV",
"license": "DO3051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.