Individual provider Active NPI

Christine Meis, DPM

  • Podiatrist
  • Grants Pass, OR
National Provider Identifier
1346240272
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DP00290 Issued in OR
Practice address
1619 NW Hawthorne Ave
Suite 110
Grants Pass, OR 97526-6008
Phone
(541) 471-7056
Fax
(541) 476-6690
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DP00290 OR Primary

Addresses

Primary practice location

1619 NW Hawthorne Ave
Suite 110
Grants Pass, OR 97526-6008

Mailing address

1619 NW Hawthorne Ave Ste 110
Grants Pass, OR 97526-6008
Phone (541) 471-7056

Other identifiers 1

IdentifierTypeStateIssuer
150343MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000047 OR Practitioner - Podiatry 4183619703 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00290ORMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Foot Center PC Podiatrist CurrentSince Apr 1, 2004 Accepting new patients
Hand and Arm Surgery of Southern Oregon, PC Past Accepting new patients

Locations

1619 NW Hawthorne Ave
Ste 106
Grants Pass, OR 97526
Phone (541) 471-7056

1619 NW Hawthorne Ave
Ste 110
Grants Pass, OR 97526
Phone (541) 471-7056

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1346240272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 NW HAWTHORNE AVE STE 110",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975266008",
            "telephone_number": "541-471-7056",
            "fax_number": "541-474-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 NW HAWTHORNE AVE",
            "address_2": "SUITE 110",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975266008",
            "telephone_number": "541-471-7056",
            "fax_number": "541-476-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIS",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150343",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.