Mark Meyer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35050600M Issued in OH

Practice address

65 Community Rd
Suite C
Tallmadge, OH 44278-2357

Phone

(330) 633-6601

Fax

(330) 630-2941

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1306836002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD",
            "address_2": "STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857854",
            "telephone_number": "330-899-9350",
            "fax_number": "330-634-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 COMMUNITY RD",
            "address_2": "SUITE C",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782357",
            "telephone_number": "330-633-6601",
            "fax_number": "330-630-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35050600M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0567499",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda McFarland, P.T.A.
• Laura McGhee, PT
• Ruth McGough, OTR/L
• Emily McKenna
• James S McMillen, PT
• Sue E Meyer, M.D.
• Michael R Kaludy D.D.S., Inc
• Tiffany Michalec
• Miller Holdings Summit, Inc.
• Miller Holdings Summit, Inc.

• Family Medicine Physician in Tallmadge, OH
• Providers in Tallmadge, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.