Organization Active NPI

Stuart a Meyers MD PC

  • Cardiovascular Disease Physician
  • Woodbridge, VA
National Provider Identifier
1376674655
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
STUART A MEYERS MD PC
Practice address
1502 Featherstone Rd
Woodbridge, VA 22191-3100
Phone
(703) 491-6877
Fax
(703) 491-9294
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Stuart A Meyers, M.D.NPI 1184725962
Title
Physician
Phone
(703) 491-6877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1502 Featherstone Rd
Woodbridge, VA 22191-3100

Mailing address

1502 Featherstone Rd
Woodbridge, VA 22191-3100
Phone (703) 491-6877

Other identifiers 1

IdentifierTypeStateIssuer
5802016MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040721000511 VA Part B Supplier - Clinic/Group Practice 0042290116 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA
O20081010000615 DC Part B Supplier - Clinic/Group Practice 0042290116 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

1502 Featherstone Rd
Woodbridge, VA 22191
Phone (703) 491-6877

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1376674655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 FEATHERSTONE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913100",
            "telephone_number": "703-491-6877",
            "fax_number": "703-491-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 FEATHERSTONE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913100",
            "telephone_number": "703-491-6877",
            "fax_number": "703-491-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART A MEYERS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-491-6877",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5802016",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.