Active NPI
Samuel Meals, M.D.
- Obstetrics & Gynecology Physician
- Fairmont, MN
National Provider Identifier
1609850338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 38449
- Practice address
- 800 Medical Center Dr
Fairmont, MN 56031-4575 - Phone
- (500) 723-8855
- NPI assigned
- Dec 6, 2005
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 38449 | MN | Primary |
Addresses
Primary practice location
800 Medical Center Dr
Fairmont, MN 56031-4575
Mailing address
800 Medical Center Dr
Fairmont, MN 56031-4575
Phone (500) 723-8855
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP17904 | Other | MN | HEALTH PARTNERS |
| 110072 | Medicaid | MN | |
| 160M1ME | Medicaid | MN | |
| 51323700 | Medicaid | MN | |
| A062 | Other | MN | CHAMPUS |
| MH90401021404 | Other | MN | PPO |
| 562678 | Medicaid | IA | |
| 160M1ME | Other | MN | BCBS |
| 07-03288 | Other | MN | MEDICA |
| 930671 | Other | MN | ARAZ |
| 160M1ME | Other | MN | BCBS/MEDICARE SUPPLEMENT |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609850338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314575",
"telephone_number": "500-723-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314575",
"telephone_number": "500-723-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEALS",
"first_name": "SAMUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "38449",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP17904",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110072",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160M1ME",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51323700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "A062",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO",
"identifier": "MH90401021404",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "562678",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "160M1ME",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "07-03288",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "930671",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/MEDICARE SUPPLEMENT",
"identifier": "160M1ME",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, MN
- Mayo Clinic Health System-Fairmont
- Mayo Clinic Health System-Fairmont
- Mayo Clinic Hospital-Rochester
- Mayo Foundation for Medical Education & Research (Mayo Clinic Store - Fairmont)
- Susan A McCollough, M.D.
- Nicole R Meyers, OT
- Paige Lynne Meyers, APRN
- Amber J Michael, OTR/L
- Midwest Anesthesia Services, LLC
- Midwest Vision Centers Inc (Midwest Vision Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.