Active NPI
Tonya P Meade, DO
- Family Medicine Physician
- Princeton, IN
National Provider Identifier
1710972229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02002400A
- Practice address
- 2022 Sherman Dr
Princeton, IN 47670 - Phone
- (812) 385-1071
- Fax
- (812) 385-8793
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02002400A | IN | Primary |
| General Practice Physician | 208D00000X | 02002400A | IN |
Addresses
Primary practice location
2022 Sherman Dr
Princeton, IN 47670
Mailing address
2022 Sherman Dr
Princeton, IN 47670
Phone (812) 385-1071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200460560 | Medicaid | IN |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002400A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1710972229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 SHERMAN DR",
"city": "PRINCETON",
"state": "IN",
"postal_code": "47670",
"telephone_number": "812-385-1071",
"fax_number": "812-385-8793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 SHERMAN DR",
"city": "PRINCETON",
"state": "IN",
"postal_code": "47670",
"telephone_number": "812-385-1071",
"fax_number": "812-385-8793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADE",
"first_name": "TONYA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02002400A",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "02002400A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200460560",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.