Active NPI
Jeffrey Meussner II
- Other Technician
- Southgate, MI
National Provider Identifier
1588044689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- M256390887349
- Practice address
- 17205 Jessica Dr
Southgate, MI 48195-6421 - Phone
- (734) 558-0637
- NPI assigned
- Jun 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | M256390887349 | MI | Primary |
Addresses
Primary practice location
17205 Jessica Dr
Southgate, MI 48195-6421
Mailing address
17205 Jessica Dr
Southgate, MI 48195-6421
Phone (734) 558-0637
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M256390887349 | MI | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1588044689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17205 JESSICA DR",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481956421",
"telephone_number": "734-558-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17205 JESSICA DR",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481956421",
"telephone_number": "734-558-0637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEUSSNER",
"first_name": "JEFFREY",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": "M256390887349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.