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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK ERIC MERRELL, PA-C

Active

MARK ERIC MERRELL, PA-C is a Physician Assistant healthcare provider located in MERIDIAN, Idaho. NPI 1922342377 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MERIDIAN, ID

Registration Details

NPI Number
1922342377
Provider Type
Individual
Gender
Male
NPI Issued
Nov 23, 2012 (13.74498679798 yrs)
Last Updated
Sep 9, 2025
Licenses
GPA-054 (ID)
PA-1054 (ID)

Practice Information

Address
2840 S MERIDIAN RD
MERIDIAN, ID, 836427960
Browse ID providers · Browse ZIP 83642
Phone
2085936393
Fax
2085936402
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MERIDIAN, ID

Name Credential NPI
ALBERT DONALD BICKFORD PA-C 1124092101
ARLENE C HARTLEY PA-C 1194792473
BRANDIE DAWN COLLINS PA 1124077151
KATHLEEN ROSE NIELSEN PA 1336196757
BRADLEY D MULKEY PA 1487691176
MR. STEPHEN J FRELLY PA 1114966959
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.