MEDICARE: DR. BOMMY HONG MERSHON MD

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	207L00000X	Anesthesiology Physician	D0068598	MD
2	207L00000X	Anesthesiology Physician	MD-52268	IA
3	207L00000X	Anesthesiology Physician	ME181159	FL
4	207LP3000X	Pediatric Anesthesiology Physician	MD-52268	IA
5	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	D0068598	MD

General Provider Information

NPI Number	:	1538315254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BOMMY HONG MERSHON MD

Provider Business Mailing Address
First Line	:	200 HAWKINS DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1009
Country	:	US
Telephone Number	:	319-356-2633
Fax Number	:	319-356-2940

Provider Business Practice Location Address
First Line	:	1005 JOE DIMAGGIO DR
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-5487
Country	:	US
Telephone Number	:	954-265-5336
Fax Number	:

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

Provider Enumeration Date	:	08/13/2008
Last Update Date	:	05/05/2026

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