Individual provider Active NPI

John T Meyer, D.C. D.O.

  • Emergency Medicine Physician
  • Lima, OH
National Provider Identifier
1689740573
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34. 011057 Issued in OH
Practice address
730 W Market St
Lima, OH 45801-4602
Phone
(419) 227-3361
NPI assigned
Nov 24, 2006
Last updated
Jun 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2455 OH
Emergency Medicine Physician 207P00000X 34. 011057 OH Primary
Internal Medicine Physician 207R00000X 34. 011057 OH

Addresses

Primary practice location

730 W Market St
Lima, OH 45801-4602

Mailing address

730 W Market St
St Rita's Medical Center
Lima, OH 45801-4602
Phone (419) 227-3361

Other identifiers 1

IdentifierTypeStateIssuer
2010059MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080918000400 OH Practitioner - Emergency MedicinePractitioner - ChiropracticPractitioner - Internal Medicine 6204903123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
57.48 of 100Reported as individual
Quality
25
Improvement activities
40
Cost
70.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34. 011057OHMDEmergency Medicine Physician
2455OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mves Boardman LLC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Mar 28, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

601 US Route 224
Ottawa, OH 45875
Phone (419) 228-8950

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

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, 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": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1689740573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "address_2": "ST RITA'S MEDICAL CENTER",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-227-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-227-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C. D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2455",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34. 011057",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34. 011057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010059",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.