Individual provider Active NPI

Mary Ann Haneberg-Merling, MD

  • Pediatrics Physician
  • Wilmington, OH
National Provider Identifier
1871554535
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35059350 Issued in OH
Practice address
1184 W Locust St
Wilmington, OH 45177-2009
Phone
(937) 382-7168
Fax
(937) 382-7877
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35059350 OH Primary

Addresses

Primary practice location

1184 W Locust St
Wilmington, OH 45177-2009

Mailing address

1184 W Locust St
Wilmington, OH 45177-2009
Phone (937) 382-1616

Other identifiers 1

IdentifierTypeStateIssuer
0799471MedicaidOH

Other names 1

  • Dr. Mary Ann Merling Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmerling73257@direct.thechristhospital.com Direct

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35059350OHMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1871554535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 W LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772009",
            "telephone_number": "937-382-1616",
            "fax_number": "937-382-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 W LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772009",
            "telephone_number": "937-382-7168",
            "fax_number": "937-382-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEBERG-MERLING",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35059350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0799471",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmerling73257@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1184 W Locust St",
            "city": "Wilmington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451772009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MERLING",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.