Matthew Mercer, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

223167 Issued in OH

Practice address

1431 Radford St NE
North Canton, OH 44720-7858

Phone

(330) 499-5840

Fax

(330) 499-5840

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Certified Registered Nurse

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 and National Provider Directory roles.

• Aultman North Canton Medical Group

  • Multi-Specialty Clinic/Center
  • North Canton, OH
  • NPI 1245257088
  NPD (past)
• Comprehensive Care Anesthesia Services Inc

  • Anesthesiology Physician
  • Massillon, OH
  • NPI 1427001833
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861494619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 RADFORD ST NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207858",
            "telephone_number": "330-499-5840",
            "fax_number": "330-499-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 RADFORD ST NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207858",
            "telephone_number": "330-499-5840",
            "fax_number": "330-499-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "223167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0887983",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Memmer
• Carol M Mendiola, PT
• Ryan Matthew Mendoza, PHARM. D.
• Adam R Menzie
• Audra M Mercer, LPTA
• Mercy Medical Center, Inc.
• Mercy Medical Center, Inc.
• Johnathan Merwin
• Erin Messerly, STNA
• Sandy Metz, OTR/L

• Certified Registered Nurse Anesthetist in North Canton, OH
• Providers in North Canton, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.