Active NPI
Mark E Meijer, MD
- Family Medicine Physician
- Roxboro, NC
National Provider Identifier
1407851983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14756
- Practice address
- 1427 N Main St
Roxboro, NC 27573-4318 - Phone
- (336) 322-7241
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14756 | NC | Primary |
Addresses
Primary practice location
1427 N Main St
Roxboro, NC 27573-4318
Mailing address
2121 Allensville Rd
Roxboro, NC 27574-7050
Phone (336) 599-2382
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141VP | Other | NC | BCBS |
| 5903636 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13710 | SC | MD | Pharmacist |
| 14756 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Person Family Medical Center Incorporated | Past | Accepting new patients | |
| Strong Health Chiropractic LLC | Past | Accepting new patients | |
| Peninsula Radiological Associates Limited | Past | Accepting new patients | |
| Aiken Integrated Medical, PC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Roxboro, NC
- NPI 1194899542
-
- Diagnostic Radiology Physician
- Newport News, VA
- NPI 1114030426
-
- Neurology Chiropractor
- Aiken, SC
- NPI 1184818593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1407851983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 ALLENSVILLE RD",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275747050",
"telephone_number": "336-599-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 N MAIN ST",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734318",
"telephone_number": "336-322-7241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEIJER",
"first_name": "MARK",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "14756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "141VP",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903636",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roxboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.