Donald Leroy Meyer, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G12541 Issued in CA

Practice address

4655 Hoen Ave Ste 4
Santa Rosa, CA 95405-7830

Phone

(707) 546-2057

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194881425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 HOEN AVE STE 4",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057830",
            "telephone_number": "707-546-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 HOEN AVE STE 4",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057830",
            "telephone_number": "707-546-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "DONALD",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G12541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Meseroll, PNP
• Jay Bryson Messick
• Roswell Messing III, PHD
• Raymond Vincent Messinger
• Richard J. Metz, D.C.
• Georgia Meyer, PH.D.
• Gloria Tucker Meyer, MD
• Meredith Meyer, LMFT
• Roy D. Meyer, MD
• Nannette L. Meyers, MD

• Pediatrics Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.