Wesley Alvin Meyer, DO
Individual provider Active NPI Pediatrics Physician · Omaha, NE
NPI 1730345950 · NPPES record last updated Apr 26, 2013
Key facts
- NPI
- 1730345950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 1027 (NE)
- Practice address
- 4920 S 30TH St
Suite 103
Omaha, NE 68107-1590 - Phone
- (402) 734-4110
- NPI assigned
- Aug 7, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55124 | MN | MD | Pediatrics Physician |
| 2008017176 | MO | MD | Pediatrics Physician |
| 1027 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneworld Community Health Centers, Inc. | Past | Accepting new patients | |
| Oneworld Community Health Centers, Inc. | Past | Accepting new patients | |
| Oneworld Community Health Centers, Inc. | Past | Accepting new patients | |
| Alegent Health Bergan Mercy Health System | Past | Accepting new patients |
Interoperability endpoints
- wesley.meyer.p1@direct.oneworldomaha.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2008017176 | MO | |
| Pediatrics Physician | 208000000X | 1027 | NE | Yes |
| Pediatrics Physician | 208000000X | 55124 | MN |
Addresses
Primary practice location
4920 S 30TH St
Suite 103
Omaha, NE 68107-1590
Mailing address
4920 S 30TH St
Suite 103
Omaha, NE 68107-1590
Phone (402) 734-4110
Other providers in Omaha, NE
- Sheila Meyer
- Steven Meyer
- Susan Ann Meyer
- Tammy J Meyer
- Tanner Meyer
- Zachary Cameron Meyer
- Tara Meyerpeter
- Autumn Rain Meyers
- Jeffrey Paul Meyers
- Jessica E Meyers
All providers in Omaha, NE · Pediatrics Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.