Organization Active NPI

Lewis Meyerson, MD, PC

  • Family Medicine Physician
  • Troy, MO
National Provider Identifier
1588841944
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEWIS MEYERSON, MD, PC
Doing business as
Meyerson Medical and Professional Group
Practice address
104 Sarah Ann Boulevard
Troy, MO 63379-0185
Phone
(636) 528-5281
Fax
(636) 462-2637
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Linda M Sumner
Title
Office Manager
Phone
(636) 528-5281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

104 Sarah Ann Boulevard
Troy, MO 63379-0185

Mailing address

104 Sarah Ann Boulevard
Troy, MO 63379-0185
Phone (636) 528-5281

Other names 1

  • Meyerson Medical and Professional Group Doing business as

National Provider Directory

National Provider Directory

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1588841944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SARAH ANN BOULEVARD",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633790185",
            "telephone_number": "636-528-5281",
            "fax_number": "636-462-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SARAH ANN BOULEVARD",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633790185",
            "telephone_number": "636-528-5281",
            "fax_number": "636-462-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS MEYERSON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "SUMNER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-528-5281"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meyerson Medical and Professional Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.