NPIMap

Organization Active NPI

Craig E. Meyer, M.D., F.a.C.S.

Doing business as Ear, Nose, and Throat, P.C.

  • Primary Care Clinic/Center
  • Elkhart, IN
National Provider Identifier
1235384744
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
01031695A Issued in IN
Legal business name
CRAIG E. MEYER, M.D., F.A.C.S.
Doing business as
Ear, Nose, and Throat, P.C.
Practice address
500 Arcade Ave
Suite 210
Elkhart, IN 46514-2477
Phone
(574) 389-9696
Fax
(574) 389-9797
NPI assigned
Nov 25, 2008
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Dr. Craig E. Meyer, M.D.NPI 1104938778
Title
Owner/President
Phone
(574) 389-9696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 01031695A IN Primary

Addresses

Primary practice location

500 Arcade Ave
Suite 210
Elkhart, IN 46514-2477

Mailing address

500 Arcade Ave
Suite 210
Elkhart, IN 46514-2477
Phone (574) 389-9696

Other identifiers 1

IdentifierTypeStateIssuer
100112550BMedicaidIN

Other names 1

  • Ear, Nose, and Throat, P.C. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1235384744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ARCADE AVE",
            "address_2": "SUITE 210",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142477",
            "telephone_number": "574-389-9696",
            "fax_number": "574-389-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ARCADE AVE",
            "address_2": "SUITE 210",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142477",
            "telephone_number": "574-389-9696",
            "fax_number": "574-389-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG E. MEYER, M.D., F.A.C.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "574-389-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01031695A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100112550B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ear, Nose, and Throat, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.