Active NPI
Russell Leon Meetze, M.D.
- General Practice Physician
- Vero Beach, FL
National Provider Identifier
1700101573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 44533
- Practice address
- 1981 Sand Dollar LN
Vero Beach, FL 32963-4544 - Phone
- (772) 581-8556
- NPI assigned
- Apr 5, 2010
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 44533 | FL | Primary |
Addresses
Primary practice location
1981 Sand Dollar LN
Vero Beach, FL 32963-4544
Mailing address
1981 Sand Dollar LN
Vero Beach, FL 32963-4544
Phone (772) 581-8556
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44533 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia of Indian River Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Vero Beach, FL
- NPI 1225085442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1700101573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1981 SAND DOLLAR LN",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329634544",
"telephone_number": "772-581-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1981 SAND DOLLAR LN",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329634544",
"telephone_number": "772-581-8556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEETZE",
"first_name": "RUSSELL",
"middle_name": "LEON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-05",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "44533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.