Individual provider Active NPI

Barbara Louise Merrill, DO

  • Family Medicine Physician
  • Haslett, MI
National Provider Identifier
1841244548
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101011052 Issued in MI
Practice address
1650 Haslett Rd
Suite 1
Haslett, MI 48840-8438
Phone
(517) 339-3200
Fax
(517) 339-4321
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101011052 MI Primary

Addresses

Primary practice location

1650 Haslett Rd
Suite 1
Haslett, MI 48840-8438

Mailing address

1650 Haslett Rd
Suite 1
Haslett, MI 48840-8438
Phone (517) 339-3200

Other names 1

  • Dr. Barbara Louise Merrill-Fongers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000472 MI Practitioner - Family Practice 4284705955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
11052MIMDOral and Maxillofacial Surgery (Dentist)
5101011052MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Internal Medicine Associates P.C. Family Medicine CurrentSince Feb 1, 2008 Accepting new patients
Paul N Deweese MD PLC PastSince Feb 1, 2008 Accepting new patients

Locations

1650 Haslett Rd
Ste 1
Haslett, MI 48840
Phone (517) 339-3200

3955 Patient Care Dr
Lansing, MI 48911
Phone (517) 374-7600

3955 Patient Care Dr
Ste A
Lansing, MI 48911
Phone (517) 374-7600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1841244548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HASLETT RD",
            "address_2": "SUITE 1",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408438",
            "telephone_number": "517-339-3200",
            "fax_number": "517-339-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HASLETT RD",
            "address_2": "SUITE 1",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408438",
            "telephone_number": "517-339-3200",
            "fax_number": "517-339-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "BARBARA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101011052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "MERRILL-FONGERS",
            "middle_name": "LOUISE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Haslett, MI

Sources for this page

Verify at the official NPI Registry.