Organization Active NPI

Joseph M. Meadows Jr., MD PC

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1356539597
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4301021469 Issued in MI
Legal business name
JOSEPH M. MEADOWS JR., MD PC
Practice address
2750 S State St
Ann Arbor, MI 48104-6179
Phone
(734) 662-1986
Fax
(734) 662-8904
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Joseph Marion Meadows Jr., MD
Title
President
Phone
(734) 662-1986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 4301021469 MI Primary

Addresses

Primary practice location

2750 S State St
Ann Arbor, MI 48104-6179

Mailing address

2750 S State St
Ann Arbor, MI 48104-6179
Phone (734) 662-1986

Other identifiers 1

IdentifierTypeStateIssuer
1046130MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1356539597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046179",
            "telephone_number": "734-662-1986",
            "fax_number": "734-662-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046179",
            "telephone_number": "734-662-1986",
            "fax_number": "734-662-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M. MEADOWS JR., MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-662-1986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "4301021469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1046130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.