Organization Active NPI

Meridian Specialty Physicians PC

  • Obstetrics & Gynecology Physician
  • El Dorado Hills, CA
National Provider Identifier
1811380900
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MERIDIAN SPECIALTY PHYSICIANS PC
Practice address
1708 Wyndham Way
El Dorado Hills, CA 95762-5370
Phone
(855) 374-3747
Fax
(302) 235-3139
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Andrew P Lin, MD
Title
President
Phone
(855) 374-3747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1708 Wyndham Way
El Dorado Hills, CA 95762-5370

Mailing address

1708 Wyndham Way
El Dorado Hills, CA 95762-5370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1811380900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 WYNDHAM WAY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 WYNDHAM WAY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625370",
            "telephone_number": "855-374-3747",
            "fax_number": "302-235-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN SPECIALTY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-374-3747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.