Active NPI
Stephen Lee Meyer, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 119652
- Practice address
- 113 S Main St
Joplin, MO 64801-2305 - Phone
- (417) 782-2190
- Fax
- (417) 782-6750
- NPI assigned
- Mar 2, 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 119652 | MO | Primary |
Addresses
Primary practice location
113 S Main St
Joplin, MO 64801-2305
Mailing address
113 S Main St
Joplin, MO 64801-2305
Phone (417) 782-2190
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100348210D | Medicaid | KS | |
| 204710610 | Medicaid | MO | |
| 128615 | Other | MO BCBS | |
| 100062770B | Medicaid | OK | |
| 100348210B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000
Hospital & facility affiliations
- Ascension at Home
- Ascension NE Wisconsin - St Elizabeth Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Calumet Hospital, Inc | Current | Accepting new patients | |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Butte Des Morts Pathology, S.C. | Current | Accepting new patients | |
| Doney Medical, Inc. | Past | Accepting new patients |
Locations
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
Interoperability endpoints
- smeyer190966@directb.mercy.net
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
- Critical Access Hospital
- Chilton, WI
- NPI 1376541748
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1912527193
-
- Anatomic Pathology & Clinical Pathology Physician
- Appleton, WI
- NPI 1205886918
-
- Medical Specialty Clinic/Center
- Miami, OK
- NPI 1104900554
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
- Home Health Agency
- Neenah, WI
- NPI 1619914694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1396712972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 S MAIN ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648012305",
"telephone_number": "417-782-2190",
"fax_number": "417-782-6750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 S MAIN ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648012305",
"telephone_number": "417-782-2190",
"fax_number": "417-782-6750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "STEPHEN",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MO",
"license": "119652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100348210D",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204710610",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO BCBS",
"identifier": "128615",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100062770B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100348210B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.