Active NPI
John Moore Merrill, M.D.
- Medical Oncology Physician
- Hayden, CO
National Provider Identifier
1801237276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- DR 0038411
- Practice address
- 40515 County Road 69a
Suite B
Hayden, CO 81639-9504 - Phone
- (970) 276-1933
- NPI assigned
- Jul 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | DR 0038411 | CO | Primary |
Addresses
Primary practice location
40515 County Road 69a
Suite B
Hayden, CO 81639-9504
Mailing address
40515 County Road 69a
Suite B
Hayden, CO 81639-9504
Phone (970) 276-1933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR 0038411 | CO | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1801237276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40515 COUNTY ROAD 69A",
"address_2": "SUITE B",
"city": "HAYDEN",
"state": "CO",
"postal_code": "816399504",
"telephone_number": "970-276-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40515 COUNTY ROAD 69A",
"address_2": "SUITE B",
"city": "HAYDEN",
"state": "CO",
"postal_code": "816399504",
"telephone_number": "970-276-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "JOHN",
"middle_name": "MOORE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-12",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "CO",
"license": "DR 0038411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayden, CO
- Cori Elise Keberlein, LCSW
- Christina Lynn Leblanc, RDH
- Ericka Irene Lucas, PT, DPT, OCS
- Michele C McAvoy, DC
- Caroline McClenahan, MA, LPCC
- Northwest Colorado Visiting Nurse Association
- Northwest Colorado Visiting Nurse Association
- Pediatrics of Steamboat Springs, PC
- Colton Wade Roesener, D.C.
- Root to Rise Counseling Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.