Pedro Julio Mejia Garagorry, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301097908 Issued in MI

Practice address

1700 Oak Ave
Muskegon, MI 49442-2407

Phone

(231) 727-4444

Fax

(231) 728-4789

NPI assigned

Jul 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cogent Healthcare of Michigan PC

  • Internal Medicine Physician
  • Jackson, MI
  • NPI 1295047165
  NPD (past)

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1497919286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 WEALTHY ST SE",
            "address_2": "SUITE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063052",
            "telephone_number": "248-952-1601",
            "fax_number": "248-952-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 OAK AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494422407",
            "telephone_number": "231-727-4444",
            "fax_number": "231-728-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA GARAGORRY",
        "first_name": "PEDRO",
        "middle_name": "JULIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301097908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Meek, D.O.
• Mark E Meengs, M.D.
• Thomas Meier
• Meijer Inc
• Meijer Inc
• Krishna Chaitanya Meka, D.O.
• Mell Chiropractic Clinic P.C.
• Henry Allan Mell, D.C
• Kayli Marie Meloche
• Gwendolyn Annette Melton, LLMSW

• Internal Medicine Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.