Individual provider Active NPI

Michael A. Meyerson, M.D.

  • General Practice Physician
  • Waxahachie, TX
National Provider Identifier
1770516494
Registry record updated Oct 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
J6017 Issued in TX
Practice address
411 E Jefferson St
Waxahachie, TX 75165-3827
Phone
(972) 923-2440
Fax
(972) 923-2445
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X J6017 TX Primary

Addresses

Primary practice location

411 E Jefferson St
Waxahachie, TX 75165-3827

Mailing address

411 E Jefferson St
Waxahachie, TX 75165-3827
Phone (972) 923-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130322000018 TX Practitioner - General Practice 6103061106 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6017TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kayenta Alternative Rural Hospital CurrentSince Oct 30, 2023 Accepting new patients
Ellis County Coalition for Health Options CurrentSince Oct 5, 2015 Accepting new patients
Health and Human Services Commission Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Health and Human Services Commission General Practice Current Accepting new patients
Ellis County Coalition for Health Options CurrentSince Oct 5, 2015 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Oct 30, 2023 Accepting new patients
Health and Human Services Commission CurrentSince Oct 1, 2017 Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

540 Chapel Dr
Mexia, TX 76667
Phone (254) 562-1750

805 N Dickinson Dr
Rusk, TX 75785
Phone (903) 683-7201

572 Coleman St
Waxahachie, TX 75165
Phone (972) 923-2440

411 E Jefferson St
Waxahachie, TX 75165
Phone (972) 923-2440

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445731200000",
    "number": "1770516494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E JEFFERSON ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653827",
            "telephone_number": "972-923-2440",
            "fax_number": "972-923-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E JEFFERSON ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653827",
            "telephone_number": "972-923-2440",
            "fax_number": "972-923-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERSON",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2015-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J6017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.