Active NPI
Douglas Robert Meyer, M.D.
- Obstetrics & Gynecology Physician
- Fredericksburg, VA
National Provider Identifier
1245353507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101044918
- Practice address
- 2103 Fall Hill Ave
Fredericksburg, VA 22401-3428 - Phone
- (540) 361-1611
- Fax
- (540) 361-4750
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101044918 | VA | Primary |
Addresses
Primary practice location
2103 Fall Hill Ave
Fredericksburg, VA 22401-3428
Mailing address
2103 Fall Hill Ave
Fredericksburg, VA 22401-3428
Phone (540) 361-1611
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54-1914235 32921 | Other | VA | MDIPA |
| 801064 | Other | VA | AFFORDABLE |
| N176 | Other | VA | CARE FIRST BC BS |
| 62-1290-5 | Medicaid | VA | |
| 11558 | Other | VA | NYLC |
| 4115060 | Other | VA | AETNA |
| 232589 | Other | VI | ANTHEM BC BS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101044918 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings OB GYN PC | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Fredericksburg, VA
- NPI 1548299324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245353507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 FALL HILL AVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013428",
"telephone_number": "540-361-1611",
"fax_number": "540-361-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 FALL HILL AVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013428",
"telephone_number": "540-361-1611",
"fax_number": "540-361-4750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "DOUGLAS",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101044918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "54-1914235 32921",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFORDABLE",
"identifier": "801064",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST BC BS",
"identifier": "N176",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "62-1290-5",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYLC",
"identifier": "11558",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4115060",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "232589",
"state": "VI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- 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.