Mercury Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

8374133-0160 Issued in UT

Legal business name

MERCURY MEDICAL LLC

Practice address

3385 W 2525 N
Plain City, UT 84404

Phone

(801) 644-5121

NPI assigned

Aug 27, 2012

Last updated

Aug 27, 2012By 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

Patric Brady Hess

Title

Ceo

Phone

(801) 644-5121

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse Stokes Lloyd, NP

  • Family Nurse Practitioner
  • Plain City, UT
  • NPI 1912429887
  NPD (past)
• Casey Lawrence Stelter, MD

  • Family Medicine Physician
  • Layton, UT
  • NPI 1073607222
  NPD (past)

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1760730659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 W 2525 N",
            "city": "PLAIN CITY",
            "state": "UT",
            "postal_code": "84404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 W 2525 N",
            "city": "PLAIN CITY",
            "state": "UT",
            "postal_code": "84404",
            "telephone_number": "801-644-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "PATRIC",
        "authorized_official_middle_name": "BRADY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-644-5121"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "8374133-0160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gitzel Iglesias
• Shannette Keeler, LCSW, PC.
• Jesse Stokes Lloyd, NP
• Jeffery Lynn Manning, F-NP
• Mallory Ann McLean
• Stephanie M Mitchell, C.D.
• Christina Mae Morris
• Mountain Strong Spine and Performance
• Bobbie Jo Nielsen
• Outreach Medical Group

• Durable Medical Equipment & Medical Supplies in Plain City, UT
• Providers in Plain City, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.