Pablo Alabanza Merced, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

KY24420 Issued in KY

Practice address

1389 Highway 15 N
Jackson, KY 41339-9404

Phone

(606) 666-4011

Fax

(606) 666-5801

NPI assigned

Jan 11, 2007

Last updated

Jan 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mother of Good Counsel

  • Counselor
  • Jackson, KY
  • NPI 1972974186
  NPD (past) Authorized official
• St. John Neumanns Intergrated Pain Management

  • Pain Clinic/Center
  • Jackson, KY
  • NPI 1023346194
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1770633182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413390606",
            "telephone_number": "606-666-4011",
            "fax_number": "606-666-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 HIGHWAY 15 N",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399404",
            "telephone_number": "606-666-4011",
            "fax_number": "606-666-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCED",
        "first_name": "PABLO",
        "middle_name": "ALABANZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "KY24420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER",
            "identifier": "1439702",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McIntosh Ambulance Inc (McIntosh Empire Inc)
• Adam McIntosh, APRN FNP-BC
• Kelly Ann McIntosh, PHARMD
• Aloysius Francis Meives IV
• Edgar A D Mendoza, M.D.
• Peter Anthony Merced
• Mercy Clinic of Jackson, PLLC
• Crystal Dawn Meyer, MSN, APRN, FNP-C
• Robert Scott Moore, PHARMD
• Trudy Ann Moore, M.D.

• Family Medicine Physician in Jackson, KY
• Providers in Jackson, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.