Organization Active NPI

William J Meis III DO Facos LLC

  • Surgery Physician
  • Erdenheim, PA
National Provider Identifier
1144071440
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WILLIAM J MEIS III DO FACOS LLC
Practice address
300 Bethlehem Pike
Erdenheim, PA 19038-8238
Phone
(215) 588-4569
NPI assigned
Mar 27, 2024
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
William Meis, DONPI 1831124015
Title
Owner
Phone
(215) 588-4569

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
Surgery Physician 208600000X Primary
Vascular Surgery Physician 2086S0129X

Addresses

Primary practice location

300 Bethlehem Pike
Erdenheim, PA 19038-8238

Mailing address

300 Bethlehem Pike
Erdenheim, PA 19038-8238
Phone (215) 588-4569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250127000978 PA Part B Supplier - Clinic/Group Practice 1658800206 Receives reassigned benefits from 1 practitioner
Practice locations: Erdenheim, PA

National Provider Directory

National Provider Directory

Locations

300 Bethlehem Pike
Glenside, PA 19038
Phone (215) 233-5170

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1144071440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BETHLEHEM PIKE",
            "city": "ERDENHEIM",
            "state": "PA",
            "postal_code": "190388238",
            "telephone_number": "215-588-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BETHLEHEM PIKE",
            "city": "ERDENHEIM",
            "state": "PA",
            "postal_code": "190388238",
            "telephone_number": "215-588-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J MEIS III DO FACOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "MEIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-588-4569",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erdenheim, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.