Active NPI
Christine M Meyer, M.D.
- Internal Medicine Physician
- Waterford, MI
National Provider Identifier
1710979257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301050509
- Practice address
- 6620 Highland Rd
Suite 101
Waterford, MI 48327-1582 - Phone
- (248) 666-9332
- Fax
- (248) 666-0340
- NPI assigned
- Aug 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301050509 | MI | Primary |
Addresses
Primary practice location
6620 Highland Rd
Suite 101
Waterford, MI 48327-1582
Mailing address
6620 Highland Road
Suite 101
Waterford, MI 48327-1582
Phone (248) 666-9332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3266310 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.34 of 100
- Quality
- 77.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301050509 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1710979257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6620 HIGHLAND ROAD",
"address_2": "SUITE 101",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271582",
"telephone_number": "248-666-9332",
"fax_number": "248-666-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6620 HIGHLAND RD",
"address_2": "SUITE 101",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271582",
"telephone_number": "248-666-9332",
"fax_number": "248-666-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "CHRISTINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-19",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301050509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3266310",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.