Thomas Gordon Merry, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7634 Issued in NV

Practice address

1649 Lucerne St
Ste a & B
Minden, NV 89423-4369

Phone

(775) 782-1603

Fax

(775) 782-3417

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Merry Medical Team

  • Family Medicine Physician
  • Minden, NV
  • NPI 1194791962
  NPD (past) Authorized official

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1689648719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 VIRGINIA RANCH RD",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105731",
            "telephone_number": "775-782-1550",
            "fax_number": "775-782-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 LUCERNE ST",
            "address_2": "STE A & B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234369",
            "telephone_number": "775-782-1603",
            "fax_number": "775-782-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRY",
        "first_name": "THOMAS",
        "middle_name": "GORDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "7634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002003030",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003103030",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Joseph McGuffin Jr., PH.D., MFT
• Heather Clare McNeilly, CMT
• Kory Meidell
• Chelsey Lynn Mentz, M.S., OTR/L
• Merry Medical Team
• Shane Miller, QBA
• Jeanne Millios, NP
• Minden Dental LLC
• Shannon Marie Mitts, LMT
• Leticia Angelica Montes, APRN

• Family Medicine Physician in Minden, NV
• Providers in Minden, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.

Verify at the official NPI Registry.