Active NPI
Michael S Meininger MD PC
- Plastic and Reconstructive Surgery Physician
- Troy, MI
National Provider Identifier
1164414074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MM052764
- Legal business name
- MICHAEL S MEININGER MD PC
- Practice address
- 1080 Kirts Blvd
Suite 700
Troy, MI 48084-4881 - Phone
- (248) 362-2300
- Fax
- (248) 362-5272
- NPI assigned
- Aug 17, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Scott Meininger, MD
- Title
- Medical Doctor
- Phone
- (248) 362-2300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MM052764 | MI | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 039869 | GA |
Addresses
Primary practice location
1080 Kirts Blvd
Suite 700
Troy, MI 48084-4881
Mailing address
1080 Kirts Blvd
Suite 700
Troy, MI 48084-4881
Phone (248) 362-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
130 Town Center Dr
Ste 201
Troy, MI 48084
Phone (248) 362-2300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Bloomfield Hills, MI
- NPI 1346377629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195171200000",
"number": "1164414074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 KIRTS BLVD",
"address_2": "SUITE 700",
"city": "TROY",
"state": "MI",
"postal_code": "480844881",
"telephone_number": "248-362-2300",
"fax_number": "248-362-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 KIRTS BLVD",
"address_2": "SUITE 700",
"city": "TROY",
"state": "MI",
"postal_code": "480844881",
"telephone_number": "248-362-2300",
"fax_number": "248-362-5272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL S MEININGER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-17",
"last_updated": "2007-11-16",
"status": "A",
"authorized_official_last_name": "MEININGER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "248-362-2300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MI",
"license": "MM052764",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "GA",
"license": "039869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.