Organization Active NPI

DRS Pichet & Meechai

  • Internal Medicine Physician
  • Waterloo, IL
National Provider Identifier
1407018781
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.