NPIMap

Organization Active NPI

William C Mercer

  • Geriatric Medicine (Family Medicine) Physician
  • Wheeling, WV
National Provider Identifier
1821180530
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
12007 Issued in WV
Legal business name
WILLIAM C MERCER
Practice address
58 16TH St
3Rd Floor
Wheeling, WV 26003-3660
Phone
(302) 232-5725
Fax
(304) 233-0698
NPI assigned
Sep 29, 2006
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. William Carl Mercer, MDNPI 1780687558
Title
Owner/Practitioner
Phone
(304) 232-5725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 12007 WV Primary

Addresses

Primary practice location

58 16TH St
3Rd Floor
Wheeling, WV 26003-3660

Mailing address

58 16TH St
3Rd Floor
Wheeling, WV 26003-3660
Phone (302) 232-5725

Other identifiers 1

IdentifierTypeStateIssuer
3810002423MedicaidWV

National Provider Directory

National Provider Directory

Locations

58 16th St
Fl 3
Wheeling, WV 26003
Phone (304) 232-5725

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1821180530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 16TH ST",
            "address_2": "3RD FLOOR",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033660",
            "telephone_number": "302-232-5725",
            "fax_number": "304-233-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 16TH ST",
            "address_2": "3RD FLOOR",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033660",
            "telephone_number": "302-232-5725",
            "fax_number": "304-233-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C MERCER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "304-232-5725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WV",
            "license": "12007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002423",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.