Marc A Meacham, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

207891 Issued in NY

Practice address

18 Honey Hollow Rd
Queensbury, NY 12804-9116

Phone

(518) 793-1000

NPI assigned

Sep 26, 2005

Last updated

Nov 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1427044304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HONEY HOLLOW RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128049116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HONEY HOLLOW RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128049116",
            "telephone_number": "518-793-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "MARC",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "207891",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "207891",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01770709",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul R McMore, RPH
• Wendy Sue McNeill, LPN
• Sarah McPhillips, OTD, OTR/L
• Kelly Ann McQuain, LPN
• Marie McWhorter, PT
• Medical Care Transitions, PLLC
• Charles H Menzel, MD
• Christina Ann Mercier, PMHNP-BC
• James P Merrigan, PHD
• Jeffrey Merrigan

• Diagnostic Radiology Physician in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.