Active NPI
Lowell D. Meyerson DO, PC
- Colon & Rectal Surgery Physician
- Elkins Park, PA
National Provider Identifier
1558699504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0053408000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 016225 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0940250 | Lowell D Meyerson DO | Certificate of waiver | Mar 16, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Colon & Rectal Surgery Physician
- Elkins Park, PA
- NPI 1447218557
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.