Active NPI
Ann Elizabeth Meyer, D.O.
- Family Medicine Physician
- Fort Mill, SC
National Provider Identifier
1053387019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36669
- Practice address
- 1690 Highway 160 W
Fort Mill, SC 29708-8024 - Phone
- (803) 547-7541
- NPI assigned
- Feb 28, 2006
- Last updated
- Nov 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34004333W | OH | |
| Family Medicine Physician | 207Q00000X | 36669 | SC | Primary |
Addresses
Primary practice location
1690 Highway 160 W
Fort Mill, SC 29708-8024
Mailing address
1690 Highway 160 W
Fort Mill, SC 29708-8024
Phone (803) 547-7541
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0995053 | Medicaid | OH | |
| 366696 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36669 | SC | MD | Pharmacist |
| 34004333W | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bes of Ohio, LLC, Dba Medgroup | Past | Accepting new patients | |
| Bes of Ohio, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Parma Heights, OH
- NPI 1073623500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1053387019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 HIGHWAY 160 W",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088024",
"telephone_number": "803-547-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 HIGHWAY 160 W",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088024",
"telephone_number": "803-547-7541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "ANN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34004333W",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "36669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0995053",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "366696",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.