Organization Active NPI

Meyers Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Stanwood, WA
National Provider Identifier
1396885364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEYERS MEDICAL LLC
Practice address
2906 152ND PL NW
Stanwood, WA 98292-7933
Phone
(360) 652-5779
Fax
(775) 514-3915
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bruce Meyers
Title
Manager
Phone
(360) 652-5779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2906 152ND PL NW
Stanwood, WA 98292-7933

Mailing address

2906 152ND PL NW
Stanwood, WA 98292-7933
Phone (360) 652-5779

Other identifiers 1

IdentifierTypeStateIssuer
9032327MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396885364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 152ND PL NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982927933",
            "telephone_number": "360-652-5779",
            "fax_number": "775-514-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 152ND PL NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982927933",
            "telephone_number": "360-652-5779",
            "fax_number": "775-514-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYERS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-652-5779"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9032327",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.