Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clyde Edward Merrill, PA-C

Individual provider Surgical Physician Assistant · NPI 1497910533

Clyde Edward Merrill, PA-C is a Physician Assistant in Gilbert, Arizona. Qualified in 2005, 21 years ago. Practices with Banner Cancer Center Specialists LLC, a 338-clinician group and accepts Medicare assignment. Licensed in Arizona, Ohio and West Virginia.

Years since qualifying
21
Licensed in
AZ, OH, WV
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone: (480) 256-6444
Fax: (480) 256-4734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5415 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 01203 (WV)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 50.002444 (OH)

Record details

NPI number1497910533
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 28, 2008
Last updated in NPPESMarch 6, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Banner Cancer Center Specialists Llc — 338 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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