Gary J Meltz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R8805 Issued in MO

Practice address

201 BJC Saint Peters Dr
Suite 100
Saint Peters, MO 63376-3091

Phone

(636) 916-8200

Fax

(636) 926-3303

NPI assigned

Jul 11, 2005

Last updated

Dec 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1720086036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BJC SAINT PETERS DR",
            "address_2": "SUITE 100",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763091",
            "telephone_number": "636-916-8200",
            "fax_number": "636-926-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BJC SAINT PETERS DR",
            "address_2": "SUITE 100",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763091",
            "telephone_number": "636-916-8200",
            "fax_number": "636-926-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTZ",
        "first_name": "GARY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R8805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201259520",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Michelle Meier, PA
• Cheyenne Meinershagen
• George Mekhjian, MD
• Jennifer Lynn Melchert
• Melissa Strachan, Psy.D., LLC
• Megan Mendel, DPT
• Lux Star Mendoza
• Manuel Julio Menendez, DDS
• John S Menius, MD
• Menm, LLC (Miracle-Ear)

• Internal Medicine Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.