MEDICARE: DR. WALTER HILSON MERRILL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	35-081129	OH
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	MD14724	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194792267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALTER HILSON MERRILL M.D.

Provider Business Mailing Address
First Line	:	719 THOMPSON LN STE 30330
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-4701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 THE VANDERBILT CLINIC
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-2102
Country	:	US
Telephone Number	:	615-936-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	10/23/2020

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