Merryman, Richard Wayne
Merryman, Richard Wayne is an sole proprietor health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Merryman, Richard Wayne can be contacted via phone (270) 798-8271.Contact Information
Primary practice address
650 Joel Dr
Fort Campbell KY 42223-5318
Phone: (270) 798-8271
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN0000110589 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 10092 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 3003900 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 0024168155 | Virginia |
Profile Details
| NPI number | 1255465225 |
|---|---|
| LBN Legal business name | Merryman, Richard Wayne |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Dec 12th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255465225 | NPPES |
| Kentucky | Other | 000000217461 | ANTHEM BCBS |
| Kentucky | MEDICAID | 7400067000 | ANTHEM BCBS |
Popular Providers
-
Schaaf, Jayme
650 Joel Dr , Fort Campbell KY 42223-5318 -
Infantino, Andrea
650 Joel Dr , Fort Campbell KY 42223-5318 -
Aretz, Steven G
Blanchfield Army Community Hospital 650 Joel Drive, Fort Campbell KY 42223 -
Kist, Teara Lynn
650 Joel Dr , Fort Campbell KY 42223-5318 -
Bellenger, Sarah Ruth
650 Joel Dr , Fort Campbell KY 42223-5318 -
Ales, Richard C
650 Joel Dr , Fort Campbell KY 42223-5318 -
Burke, Edward
650 Joel Drive Attn: Mcxd-Dccs-Cr, Credentials Office, Fort Campbell KY 42223 -
Johnson, Lori
650 Joel Dr , Fort Campbell KY 42223