Active NPI
Patrick D Meyer, MD
- Pediatrics Physician
- Janesville, WI
National Provider Identifier
1679517080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 27736-020
- Practice address
- 3200 E Racine St
Janesville, WI 53546-2343 - Phone
- (608) 371-8000
- Fax
- (608) 371-8919
- NPI assigned
- Jun 15, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 27736-020 | WI | Primary |
Addresses
Primary practice location
3200 E Racine St
Janesville, WI 53546-2343
Mailing address
3200 E Racine St
Janesville, WI 53546-2343
Phone (608) 371-8000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27736-020 | WI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434326400000",
"number": "1679517080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 E RACINE ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535462343",
"telephone_number": "608-371-8000",
"fax_number": "608-371-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 E RACINE ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535462343",
"telephone_number": "608-371-8000",
"fax_number": "608-371-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "PATRICK",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2015-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "27736-020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.