James G Merrick M. D PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

271204 Issued in NY

Legal business name

JAMES G MERRICK M. D PLLC

Practice address

309 County Route 47
Suite 1
Saranac Lake, NY 12983-5405

Phone

(518) 891-2688

Fax

(518) 891-4120

NPI assigned

Nov 6, 2013

Last updated

Nov 6, 2013By 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

Ms. Melissa J Fraser

Title

Office Manager

Phone

(518) 891-2688

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1669801080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 COUNTY ROUTE 47",
            "address_2": "SUITE 1",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835405",
            "telephone_number": "518-891-2688",
            "fax_number": "518-891-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 COUNTY ROUTE 47",
            "address_2": "SUITE 1",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835405",
            "telephone_number": "518-891-2688",
            "fax_number": "518-891-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES G MERRICK M. D PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-891-2688",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "271204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03657623",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina F Hybicki, LCSW
• Michael Hybicki
• Amy J Isabella, SLP
• Margaret Kathleen Ivimey, RN
• Jessica Evans Jakobe
• James W Bevilacqua (Post Office Pharmacy)
• Andrew Michael James, RN-BSN
• Lori Jo Jamison, RN
• James Emerson Jenks, M.D.
• David Ayrton Johnson, MD

• Specialist in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Specialist in New York

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