Individual provider Active NPI

Milton A Meinhardt, MD

  • Neuromusculoskeletal Medicine & OMM Physician
  • Michigan City, IN
National Provider Identifier
1801924550
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
01060289A Issued in IN
Practice address
3777 Frontage Rd
Michigan City, IN 46360-7695
Phone
(219) 877-3826
Fax
(219) 874-4476
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 01060289A IN Primary

Addresses

Primary practice location

3777 Frontage Rd
Michigan City, IN 46360-7695

Mailing address

3777 Frontage Rd
Michigan City, IN 46360-7695
Phone (219) 877-3826

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01060289AINMDNeuromusculoskeletal Medicine & OMM Physician

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1801924550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 FRONTAGE RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607695",
            "telephone_number": "219-877-3826",
            "fax_number": "219-874-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 FRONTAGE RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607695",
            "telephone_number": "219-877-3826",
            "fax_number": "219-874-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINHARDT",
        "first_name": "MILTON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IN",
            "license": "01060289A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.