James G. Merrick, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

21782-20 Issued in WI

Practice address

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

Phone

(518) 891-2688

Fax

(518) 891-4120

NPI assigned

Jul 27, 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 1

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.

• Ascension Medical Group-Fox Valley Wisconsin, Inc

  • Cardiovascular Disease Physician
  • Appleton, WI
  • NPI 1831890177
  NPD (past)
• Childrens Hospital of Wisconsin, Inc.

  • Pediatrics Physician
  • Milwaukee, WI
  • NPI 1245308626

  Allergy & Immunology

  NPD (past)
• Dean Health Systems, Inc

  • Allergy & Immunology Physician
  • Madison, WI
  • NPI 1053358846
  NPD (past)
• Susquehanna Physician Services

  • Allergy & Immunology Physician
  • Williamsport, PA
  • NPI 1013118389
  NPD (past)
• Susquehanna Physician Services

  • Radiology Clinic/Center
  • Mansfield, PA
  • NPI 1073361564
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1700890878",
    "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": {
        "last_name": "MERRICK",
        "first_name": "JAMES",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WI",
            "license": "21782-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "61125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William J McDonald
• Neil McKinnon
• Jean McNamara, RN
• Medical Associates of Saranac Lake PC
• David J. Meeker, PH.D.
• Kayleigh Merrill
• Michael Cochran
• Neil P Miller, OD
• Thomas F Minehan, MD
• Erin Elizabeth Mitchell

• Allergy & Immunology Physician in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Allergy & Immunology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.