NPIMap

Organization Active NPI

Meridian Iom

  • Electroneurodiagnostic Specialist/Technologist
  • Indian Hills, CO
National Provider Identifier
1073137147
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
MERIDIAN IOM
Practice address
21521 Falcon Wing Road
Indian Hills, CO 80454-8045
Phone
(541) 517-1206
NPI assigned
Jun 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Erica Crane, CNIMNPI 1932305943
Title
President/Director
Phone
(541) 517-1206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X

Addresses

Primary practice location

21521 Falcon Wing Road
Indian Hills, CO 80454-8045

Mailing address

PO Box 705
Indian Hills, CO 80454-0705
Phone (541) 517-1206

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1073137147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "INDIAN HILLS",
            "state": "CO",
            "postal_code": "804540705",
            "telephone_number": "541-517-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21521 FALCON WING ROAD",
            "city": "INDIAN HILLS",
            "state": "CO",
            "postal_code": "804548045",
            "telephone_number": "541-517-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN IOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "541-517-1206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Hills, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.