Bill Robert Meredith Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R7952 Issued in MO

Practice address

2216 E 32ND St
Ste. 202
Joplin, MO 64804-3016

Phone

(417) 782-2020

Fax

(417) 782-7861

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: wrmeredithmd@joplineyecare.direct.eyemdemr.com

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1689685349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 E 32ND ST",
            "address_2": "STE. 202",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043016",
            "telephone_number": "417-782-2020",
            "fax_number": "417-782-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 E 32ND ST",
            "address_2": "STE. 202",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043016",
            "telephone_number": "417-782-2020",
            "fax_number": "417-782-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "BILL",
        "middle_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R7952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200024008",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100257110A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Hospital Joplin
• Mercy Hospital Joplin
• Mercy Hospital Joplin
• Mercy Pharmacy Services, LLC
• Mercy St John'S
• Townsend William Meredith
• Eness Meri
• Heath R Merkley, M.D.
• Dillon Ntim Merz
• Kristen Ann Messer, RN

• Ophthalmology Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.