Melchor L. Mercado M.D. a Professional Corporation

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

35.071066 Issued in OH

Legal business name

MELCHOR L. MERCADO M.D. A PROFESSIONAL CORPORATION

Practice address

1250 Ralston Ave
Defiance, OH 43512-5311

Phone

(419) 783-7880

Fax

(419) 783-6804

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By 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

Dr. Melchor L. Mercado, M.D.

Title

Owner

Phone

(419) 783-7880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1851842363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 RALSTON AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435125311",
            "telephone_number": "419-783-7880",
            "fax_number": "419-783-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 RALSTON AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435125311",
            "telephone_number": "419-783-7880",
            "fax_number": "419-783-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELCHOR L. MERCADO M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "MELCHOR",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-783-7880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "OH",
            "license": "35.071066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon McNeal, CDCA
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• Melchor Mercado, M.D.
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• Mercy Medical Partners Northern Region LLC (Mercy Defiance Clinic Pharmacy)
• Mercy Medical Partners Northern Region Specialty Care LLC

• Prescribing (Medical) Psychologist in Defiance, OH
• Providers in Defiance, OH by specialty
• Prescribing (Medical) Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.