Active NPI
Shawn Robert Meyer
- Other Technician
- Grand Haven, MI
National Provider Identifier
1669514766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 650 S Harbor Dr
Grand Haven, MI 49417-1742 - Phone
- (616) 850-2533
- Fax
- (616) 850-2521
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
650 S Harbor Dr
Grand Haven, MI 49417-1742
Mailing address
650 S Harbor Dr
Grand Haven, MI 49417-1742
Phone (616) 850-2533
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348963200000",
"number": "1669514766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 S HARBOR DR",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494171742",
"telephone_number": "616-850-2533",
"fax_number": "616-850-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 S HARBOR DR",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494171742",
"telephone_number": "616-850-2533",
"fax_number": "616-850-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "SHAWN",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2012-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.