Mark C Meyer MD LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MARK C MEYER MD LLC

Practice address

5901 Corporate Dr
Colorado Springs, CO 80919-1941

Phone

(719) 598-7562

Fax

(719) 598-2775

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mark C Meyer, M.D.

Title

Managing Agent

Phone

(719) 448-0981

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Spinal Diagnostics & Pain Management Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Jane Ediger, NP

  • Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1285884320
  NPD (past)
• Patience Jurkiewicz

  • Physician Assistant
  • Colorado Springs, CO
  • NPI 1477298354
  NPD (past)
• Alan R Brewer, MD

  • Pain Medicine (Anesthesiology) Physician
  • North Platte, NE
  • NPI 1649363094
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1821175100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 CORPORATE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191941",
            "telephone_number": "719-598-7562",
            "fax_number": "719-598-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 CORPORATE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191941",
            "telephone_number": "719-598-7562",
            "fax_number": "719-598-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C MEYER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING AGENT",
        "authorized_official_telephone_number": "719-448-0981",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH  PROVIDER NUMBER",
            "identifier": "10403617",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01352509",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "35250",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Diagnostics & Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanna Marini
• Alexy Sue Mariniello, PT
• Amy Renee Marino, LCSW
• Remi Mariscal
• Mark a. Reinicke, D.D.S., P.C.
• Mark J Hinrichs MD Faapmr PC
• Mark J. Bentele, DDS, Ms, PC
• Mark S Fraley, D.O.,P.C.
• Mark T. Albers, D.D.S.
• Mark Walton, D.O., P.C.

• Anesthesiology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.