Individual provider Active NPI

Gatlin Dell Meador, PA

  • Physician Assistant
  • Fort Dodge, IA
National Provider Identifier
1619615051
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2728 2ND Ave S
Fort Dodge, IA 50501-6710
Phone
(515) 574-6170
NPI assigned
May 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2728 2ND Ave S
Fort Dodge, IA 50501-6710

Mailing address

15365 Top Dr
Saint Robert, MO 65584-3760
Phone (319) 486-8173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215001087 IA Practitioner - Physician Assistant 8921457979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

117 S 25TH St
Davita Renal Center of Fort Dodge
Fort Dodge, IA 50501-4357
Phone (800) 424-6589

1536 N 29TH St
Bickford of Fort Dodge
Fort Dodge, IA 50501-2148
Phone (515) 573-3300

2400 6TH Ave N
Marian Home
Fort Dodge, IA 50501-3541
Phone (515) 576-1138

420 Kenyon Rd
Fort Dodge, IA 50501-5749
Phone (515) 573-2121

800 Kenyon Rd
Fort Dodge, IA 50501-5776

802 Kenyon Rd
Fort Dodge, IA 50501-5740

802 Kenyon Rd
Fort Dodge, IA 50501-5747

925 Martin Luther King Dr
Fort Dodge, IA 50501-2866
Phone (515) 576-6525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Trinity Regional Medical Center CurrentSince Mar 31, 2024 Accepting new patients
Trinity Regional Medical Center CurrentSince Jan 29, 2024 Accepting new patients

Locations

2728 2nd Ave S
Fort Dodge, IA 50501
Phone (515) 574-6170

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

Interoperability endpoints

  • Direct secure messaging: gmeador1047228@direct.unitypoint.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1619615051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15365 TOP DR",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655843760",
            "telephone_number": "319-486-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 2ND AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505016710",
            "telephone_number": "515-574-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOR",
        "first_name": "GATLIN",
        "middle_name": "DELL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.