Active NPI
DRS Pichet & Meechai
- Internal Medicine Physician
- Waterloo, IL
National Provider Identifier
1407018781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DRS PICHET & MEECHAI
- Practice address
- 509 Hamacher St Ste 200B
Waterloo, IL 62298-1592 - Phone
- (618) 939-8648
- Fax
- (618) 939-8650
- NPI assigned
- Jun 27, 2008
- Last updated
- Jun 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dorothy Gross
- Title
- Secretary
- Phone
- (618) 939-8648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
509 Hamacher St Ste 200B
Waterloo, IL 62298-1592
Mailing address
PO Box 170
509 Hamacher St, Ste 200B
Waterloo, IL 62298-0170
Phone (618) 939-8648
National Provider Directory
National Provider DirectoryLocations
509 Hamacher St
Ste 200B
Waterloo, IL 62298
Phone (618) 939-8648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1407018781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 170",
"address_2": "509 HAMACHER ST, STE 200B",
"city": "WATERLOO",
"state": "IL",
"postal_code": "622980170",
"telephone_number": "618-939-8648",
"fax_number": "618-939-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 HAMACHER ST STE 200B",
"city": "WATERLOO",
"state": "IL",
"postal_code": "622981592",
"telephone_number": "618-939-8648",
"fax_number": "618-939-8650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS PICHET & MEECHAI",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-27",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "GROSS",
"authorized_official_first_name": "DOROTHY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "618-939-8648",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IL
- Julie Anna Downs, PT
- Dr Darryll L Beard DMD LTD (Drs Beard & Holmen Ltd)
- Dr John F Blattner & Dr Dwight D Heberer PC (Smiles R forever)
- Dr John F Blattner & Dr. Dwight D Heberer PC
- Dr. Jennifer Kujawski, LLC
- Lori Ann Dudgeon, MHP
- Evelyn Duffin, RSA
- Anneleyce Dunlop, MHP
- Melissa Dunn, MHP
- Breanne Lee Dunsworth, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.