Individual provider Active NPI

Stephen P Meese, D.O.

  • Obstetrics & Gynecology Physician
  • Stanford, KY
National Provider Identifier
1619949278
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
02536 Issued in KY
Practice address
107 Metker TRL
Suite a
Stanford, KY 40484-1049
Phone
(606) 365-8338
Fax
(606) 365-8142
NPI assigned
Feb 7, 2006
Last updated
Jun 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34.006666 OH
Obstetrics & Gynecology Physician 207V00000X 02536 KY Primary

Addresses

Primary practice location

107 Metker TRL
Suite a
Stanford, KY 40484-1049

Mailing address

107 Metker TRL
Suite a
Stanford, KY 40484-1049
Phone (606) 365-8338

Other identifiers 2

IdentifierTypeStateIssuer
2274177MedicaidOH
64076169MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322000103 KY Practitioner - Obstetrics/Gynecology 0941255053 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio University, College of Osteopathic Medicine, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Buc Independence LLCGroup PAC ID 3779884747, 5 clinicians
Buc Newport LLCGroup PAC ID 0446574339, 3 clinicians
Bluegrass Urgent Care LLCGroup PAC ID 9830350685, 5 clinicians

Practice addresses (Care Compare)

2025 Declaration Dr
Independence, KY 41051-7983
Phone (859) 371-7900

401 E 20TH St
Covington, KY 41014-1583
Phone (859) 431-7900

625 Chestnut Dr
Suite 106
Walton, KY 41094-7845
Phone (859) 485-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02536KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Urgent Care LLC Obstetrics & Gynecology CurrentSince Oct 4, 2019 Accepting new patients
Spring View Physician Practices, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2016 Accepting new patients
Spring View Physician Practices LLC CurrentSince Mar 1, 2016 Accepting new patients
Buc Independence LLC Obstetrics & Gynecology CurrentSince Oct 4, 2019 Accepting new patients
Independence Urgent Care LLC Current Accepting new patients
Buc Newport LLC CurrentSince Oct 4, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

401 E 20th St
Covington, KY 41014
Phone (859) 283-6600

2025 Declaration Dr
Independence, KY 41051
Phone (859) 363-3330

330 N Loretto Rd
Ste 500A
Lebanon, KY 40033
Phone (270) 699-2229

420 N Loretto Rd
Ste 600
Lebanon, KY 40033
Phone (270) 692-5139

625 Chestnut Dr
Ste 106
Walton, KY 41094
Phone (859) 485-7900

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1619949278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 METKER TRL",
            "address_2": "SUITE A",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841049",
            "telephone_number": "606-365-8338",
            "fax_number": "606-365-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 METKER TRL",
            "address_2": "SUITE A",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841049",
            "telephone_number": "606-365-8338",
            "fax_number": "606-365-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEESE",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.006666",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "02536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2274177",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64076169",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, KY

Sources for this page

Verify at the official NPI Registry.