Individual provider Active NPI

Scott Allen Meteer, DO

  • Family Medicine Physician
  • Tamuning, GU
National Provider Identifier
1770076820
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102205810 Issued in VA
Practice address
50 Farenholt Ave
Tamuning, GU 96913-3106
Phone
(671) 344-9202
Fax
(671) 344-9209
NPI assigned
Jun 13, 2018
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102205810 VA Primary

Addresses

Primary practice location

50 Farenholt Ave
Tamuning, GU 96913-3106

Mailing address

4282 E 50TH St Apt 4303
Des Moines, IA 50317-4789
Phone (191) 666-0214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20200406002918 FL Order and Referring Only - Family PracticePractitioner - Family Practice 4082043468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102205810VAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1770076820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4282 E 50TH ST APT 4303",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503174789",
            "telephone_number": "191-666-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FARENHOLT AVE",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133106",
            "telephone_number": "671-344-9202",
            "fax_number": "671-344-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METEER",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102205810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.