Active NPI
William Clark Meyers, MD
- Surgery Physician
- Philadelphia, PA
National Provider Identifier
1437196482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD072993L
- Practice address
- 1200 Constitution Ave
Suite 110
Philadelphia, PA 19112-1329 - Phone
- (267) 592-3200
- Fax
- (888) 393-3980
- NPI assigned
- May 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME150438 | FL | |
| Surgery Physician | 208600000X | MD072993L | PA | Primary |
Addresses
Primary practice location
1200 Constitution Ave
Suite 110
Philadelphia, PA 19112-1329
Mailing address
1200 Constitution Ave Ste 110
Philadelphia, PA 19112-1323
Phone (267) 592-3200
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 |
|---|---|---|---|
| ME150438 | FL | MD | Surgery Physician |
| MD072993L | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Vincera Imaging LLC | Past | Accepting new patients | |
| Drexel University | Past | Accepting new patients |
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.
-
- Maternal & Fetal Medicine Physician
- Philadelphia, PA
- NPI 1629005152
-
- Radiology Clinic/Center
- Philadelphia, PA
- NPI 1538621032
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1437196482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CONSTITUTION AVE STE 110",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191121323",
"telephone_number": "267-592-3200",
"fax_number": "888-393-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CONSTITUTION AVE",
"address_2": "SUITE 110",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191121329",
"telephone_number": "267-592-3200",
"fax_number": "888-393-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "WILLIAM",
"middle_name": "CLARK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME150438",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD072993L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.