Rodney W Merrell, M.D.
Individual provider Active NPI Family Medicine Physician · Tremonton, UT
NPI 1932196771 · NPPES record last updated Mar 1, 2012
Key facts
- NPI
- 1932196771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 168704-1205 (UT)
- Practice address
- 935 N 1000 W
Tremonton, UT 84337-9356 - Phone
- (435) 207-4800
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060107000046 | UT | Practitioner - Family Practice | 2668495482 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Family Medicine | Past | Accepting new patients |
Locations
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 168704-1205 | UT | Yes |
Addresses
Primary practice location
935 N 1000 W
Tremonton, UT 84337-9356
Mailing address
935 N 1000 W
Tremonton, UT 84337-9356
Phone (435) 207-4800
Other providers in Tremonton, UT
- Holly Matthews
- Jessica McCulloch
- Cathy McMullen
- Zackary Chase McMurdie
- Chad L Merrell
- Miles Counseling Services
- Miller Medical Inc
- Hannah Larue Miller
- Todd Miller
- Mission Health Services
All providers in Tremonton, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.