Active NPI
Andrew A Meade, MD
- Diagnostic Radiology Physician
- Lakewood, CO
National Provider Identifier
1770586356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 46660
- Practice address
- 1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208 - Phone
- (303) 716-3787
- Fax
- (303) 716-3777
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 44575 | WI | |
| Diagnostic Radiology Physician | 2085R0202X | 46660 | CO | Primary |
Addresses
Primary practice location
1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208
Mailing address
1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208
Phone (303) 716-3787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31915000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44575 | WI | MD | Ophthalmology Physician |
| 46660 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flatirons Radiology, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Gundersen Lutheran Medical Center Inc | Past | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
-
- Community Based Hospice Care Agency
- La Crosse, WI
- NPI 1013943893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1770586356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1746 COLE BLVD",
"address_2": "SUITE 150",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "804013208",
"telephone_number": "303-716-3787",
"fax_number": "303-716-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1746 COLE BLVD",
"address_2": "SUITE 150",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "804013208",
"telephone_number": "303-716-3787",
"fax_number": "303-716-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADE",
"first_name": "ANDREW",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "44575",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "46660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31915000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.