Active NPI
Roger Paul Meyer, M.D.
- Gynecology Physician
- Carson City, NV
National Provider Identifier
1326008475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 4078
- Practice address
- 1200 Mountain St
Carson City, NV 89703-3821 - Phone
- (775) 883-3636
- Fax
- (775) 882-2382
- NPI assigned
- Mar 24, 2006
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 4078 | NV | Primary |
Addresses
Primary practice location
1200 Mountain St
Carson City, NV 89703-3821
Mailing address
1200 Mountain St
Carson City, NV 89703-3821
Phone (775) 883-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002013013 | Medicaid | NV |
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 |
|---|---|---|---|
| 4078 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1326008475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 MOUNTAIN ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897033821",
"telephone_number": "775-883-3636",
"fax_number": "775-882-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MOUNTAIN ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897033821",
"telephone_number": "775-883-3636",
"fax_number": "775-882-2382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "ROGER",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NV",
"license": "4078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002013013",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.