Active NPI
John Walter Meyer, M.D.
- Family Medicine Physician
- Castroville, TX
National Provider Identifier
1194724625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E3732
- Practice address
- 1051 US Highway 90 E
Castroville, TX 78009 - Phone
- (830) 931-3336
- Fax
- (830) 931-3508
- NPI assigned
- Jul 18, 2005
- Last updated
- Jun 29, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E3732 | TX | Primary |
Addresses
Primary practice location
1051 US Highway 90 E
Castroville, TX 78009
Mailing address
1051 US Highway 90 E
Castroville, TX 78009-5210
Phone (830) 931-3336
Other practice location 1
3200 Avenue E
Hondo, TX 78861
Phone (830) 426-7819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133488009 | Medicaid | TX |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1194724625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 US HIGHWAY 90 E",
"city": "CASTROVILLE",
"state": "TX",
"postal_code": "780095210",
"telephone_number": "830-931-3336",
"fax_number": "830-931-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 US HIGHWAY 90 E",
"city": "CASTROVILLE",
"state": "TX",
"postal_code": "78009",
"telephone_number": "830-931-3336",
"fax_number": "830-931-3508"
}
],
"practiceLocations": [
{
"address_1": "3200 Avenue E",
"address_purpose": "LOCATION",
"city": "Hondo",
"state": "TX",
"postal_code": "78861",
"country_code": "US",
"telephone_number": "830-426-7819",
"fax_number": "830-741-6290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "JOHN",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E3732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133488009",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Castroville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.