Active NPI
Scott Xavier Meisel, DO
- Anesthesiology Physician
- Ooltewah, TN
National Provider Identifier
1104807700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DO0082O
- Practice address
- 7403 Royal Harbour Cir
Ooltewah, TN 37363-9151 - Phone
- (423) 472-6513
- Fax
- (423) 476-2062
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DO0082O | TN | Primary |
Addresses
Primary practice location
7403 Royal Harbour Cir
Ooltewah, TN 37363-9151
Mailing address
PO Box 3090
Cleveland, TN 37320-3090
Phone (423) 472-6513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3302567 | Medicaid | TN |
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 |
|---|---|---|---|
| DO0082O | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Care Enterprises, LLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Aurora, CO
- NPI 1861450371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1104807700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3090",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373203090",
"telephone_number": "423-472-6513",
"fax_number": "423-476-2062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7403 ROYAL HARBOUR CIR",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373639151",
"telephone_number": "423-472-6513",
"fax_number": "423-476-2062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEISEL",
"first_name": "SCOTT",
"middle_name": "XAVIER",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "DO0082O",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3302567",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ooltewah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.