Active NPI
Joshua R Meyerson, M.D.
- Pediatrics Physician
- Charlevoix, MI
National Provider Identifier
1851383533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- JM 066688
- Practice address
- 220 W Garfield Ave
Charlevoix, MI 49720-1631 - Phone
- (231) 547-6523
- Fax
- (231) 547-6238
- NPI assigned
- Aug 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | JM 066688 | MI | Primary |
Addresses
Primary practice location
220 W Garfield Ave
Charlevoix, MI 49720-1631
Mailing address
220 W Garfield Ave
Charlevoix, MI 49720-1631
Phone (231) 547-6523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104577979 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Tulane University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Woods Cir
Suite 200
Alpena, MI 49707-1443
Phone (989) 356-4507
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JM 066688 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Health Department No. 4 | Current | Accepting new patients | |
| Northwest Michigan Community Health Agency | Past | Accepting new patients |
Locations
100 Woods Cir
Ste 200
Alpena, MI 49707
Phone (989) 356-4507
825 S Huron St
Ste 1
Cheboygan, MI 49721
Phone (231) 627-8850
Organizations & group practices 2
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.
-
- Home Health Agency
- Alpena, MI
- NPI 1760443584
-
- Clinical Medical Laboratory
- Gaylord, MI
- NPI 1659983872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1851383533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W GARFIELD AVE",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201631",
"telephone_number": "231-547-6523",
"fax_number": "231-547-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 W GARFIELD AVE",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201631",
"telephone_number": "231-547-6523",
"fax_number": "231-547-6238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERSON",
"first_name": "JOSHUA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "JM 066688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104577979",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlevoix, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.