Organization Active NPI

Meacham MD Limited

  • Internal Medicine Physician
  • Mesquite, TX
National Provider Identifier
1508359316
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J3159 Issued in TX
Legal business name
MEACHAM MD LIMITED
Practice address
1050 N Belt Line Rd
Mesquite, TX 75149-1782
Phone
(214) 803-7443
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Joseph A Meacham, MD
Title
President
Phone
(214) 803-7443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X J3159 TX Primary

Addresses

Primary practice location

1050 N Belt Line Rd
Mesquite, TX 75149-1782

Mailing address

1050 N Belt Line Rd
Mesquite, TX 75149-1782
Phone (214) 803-7443

Other identifiers 2

IdentifierTypeStateIssuer
8EL294OtherTXBCBS OF TEXAS
130406510MedicaidTX

National Provider Directory

National Provider Directory

Locations

1050 N Belt Line Rd
Mesquite, TX 75149
Phone (214) 393-2940

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1508359316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N BELT LINE RD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491782",
            "telephone_number": "214-803-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N BELT LINE RD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491782",
            "telephone_number": "214-803-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEACHAM MD LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MEACHAM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-803-7443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J3159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8EL294",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130406510",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.