Individual provider Active NPI

Paul Alexander Meyer, M.D.

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1144236290
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301054802 Issued in MI
Practice address
355 N Center Rd
Saginaw, MI 48638-5849
Phone
(989) 401-8916
Fax
(989) 372-9867
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301054802 MI Primary

Addresses

Primary practice location

355 N Center Rd
Saginaw, MI 48638-5849

Mailing address

355 N Center Rd
Saginaw, MI 48638-5849
Phone (989) 401-8916

Other identifiers 7

IdentifierTypeStateIssuer
0E66019OtherMIMEDICARE GROUP MIDLAND REDIMED
01-0-Z9-6017-0OtherMIBCBSM BAY CITY REDIMED GROUP
3170078MedicaidMI
01-0-Z9-1103-0OtherMIBCBSM ESSEXVILLE GROUP
0Z96017OtherMIMEDICARE BAY CITY REDIMED GROUP
01-0-E6-6019-0OtherMIBCBSM MIDLAND GROUP
0P43930OtherMIMEDICARE ESSEXVILLE GROUP

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Mari G Jurado MD PC PastSince Aug 28, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1144236290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 N CENTER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385849",
            "telephone_number": "989-401-8916",
            "fax_number": "989-372-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N CENTER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385849",
            "telephone_number": "989-401-8916",
            "fax_number": "989-372-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "PAUL",
        "middle_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301054802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP MIDLAND REDIMED",
            "identifier": "0E66019",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM BAY CITY REDIMED GROUP",
            "identifier": "01-0-Z9-6017-0",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3170078",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM ESSEXVILLE GROUP",
            "identifier": "01-0-Z9-1103-0",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BAY CITY REDIMED GROUP",
            "identifier": "0Z96017",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM MIDLAND GROUP",
            "identifier": "01-0-E6-6019-0",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ESSEXVILLE GROUP",
            "identifier": "0P43930",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.