Frank J Meierdiercks, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0420006210 Issued in VT

Practice address

714 Breezy Hill Rd
St Johnsbury, VT 05819-8882

Phone

(802) 748-7500

Fax

(802) 745-1188

NPI assigned

Apr 11, 2006

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 2

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1396708178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 BREEZY HILL RD",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058198882",
            "telephone_number": "802-748-7500",
            "fax_number": "802-745-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 BREEZY HILL RD",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058198882",
            "telephone_number": "802-748-7500",
            "fax_number": "802-745-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIERDIERCKS",
        "first_name": "FRANK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "0420006210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075392",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007975",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Allison McCabe
• Alexandra McCaughey, LCMHC
• Marilyn McEnery
• Shannon McGrath, MS, OTR/L
• Lucille J McKee
• Richard Merrick, MD
• Jane Helena Micciche, APRN
• Peter G Miller, DDS
• Debra Ann Mills, QMHP
• Christine Milne-O'Grady, LICSW

• Internal Medicine Physician in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.