NPIMap

Organization Active NPI

Lewis Meyerson, MD

  • Family Medicine Physician
  • Troy, MO
National Provider Identifier
1154512614
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
106340 Issued in MO
Legal business name
LEWIS MEYERSON, MD
Practice address
104 Sarah Ann Blvd
Troy, MO 63379-2038
Phone
(636) 528-5281
Fax
(636) 462-2637
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Dr. Lewis Aaron Meyerson, MDNPI 1568560720
Title
Owner
Phone
(636) 528-5281

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
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 106340 MO Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 2002021114 MO

Addresses

Primary practice location

104 Sarah Ann Blvd
Troy, MO 63379-2038

Mailing address

104 Sarah Ann Blvd
Troy, MO 63379-2038
Phone (636) 528-5281

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1154512614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SARAH ANN BLVD",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792038",
            "telephone_number": "636-528-5281",
            "fax_number": "636-462-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SARAH ANN BLVD",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792038",
            "telephone_number": "636-528-5281",
            "fax_number": "636-462-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS MEYERSON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "MEYERSON",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-528-5281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "106340",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002021114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.