Organization Active NPI

Lowell D. Meyerson DO, PC

  • Colon & Rectal Surgery Physician
  • Elkins Park, PA
National Provider Identifier
1558699504
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
LOWELL D. MEYERSON DO, PC
Practice address
50 Township Line Rd
Suite G02
Elkins Park, PA 19027-2249
Phone
(215) 379-0444
Fax
(215) 663-1359
NPI assigned
Dec 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Mrs. Joyce D Owens
Title
Office Manager
Phone
(215) 379-0710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

50 Township Line Rd
Suite G02
Elkins Park, PA 19027-2249

Mailing address

50 Township Line Rd
Suite G02
Elkins Park, PA 19027-2249
Phone (215) 379-0444

Other identifiers 2

IdentifierTypeStateIssuer
0053408000OtherPAKEYSTONE HEALTH PLAN EAST
016225MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091217000385 PA Part B Supplier - Clinic/Group Practice 4880734185 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA; Elkins Park, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0940250Lowell D Meyerson DO50 East Township Line G02, Elkins Park, PA 19027Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Locations

50 Township Line Rd
Ste G2
Elkins Park, PA 19027
Phone (215) 379-0444

7516 City Line Ave
Ste 2
Philadelphia, PA 19151
Phone (215) 877-3639

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1558699504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TOWNSHIP LINE RD",
            "address_2": "SUITE G02",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272249",
            "telephone_number": "215-379-0444",
            "fax_number": "215-663-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TOWNSHIP LINE RD",
            "address_2": "SUITE G02",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272249",
            "telephone_number": "215-379-0444",
            "fax_number": "215-663-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWELL D. MEYERSON DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-379-0710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0053408000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016225",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.