Active NPI
Stephen C Meyers, M.D.
- Pediatrics Physician
- Garden City, KS
National Provider Identifier
1801848247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 04-17039
- Practice address
- 311 E Spruce St
Garden City, KS 67846-5614 - Phone
- (620) 275-3700
- Fax
- (620) 275-3717
- NPI assigned
- May 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-17039 | KS | Primary |
Addresses
Primary practice location
311 E Spruce St
Garden City, KS 67846-5614
Mailing address
311 E Spruce St
Garden City, KS 67846-5614
Phone (620) 275-3700
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 |
|---|---|---|---|
| 04-17039 | KS | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1801848247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 E SPRUCE ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465614",
"telephone_number": "620-275-3700",
"fax_number": "620-275-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E SPRUCE ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465614",
"telephone_number": "620-275-3700",
"fax_number": "620-275-3717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "STEPHEN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "04-17039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.