Organization Active NPI

Ronald Lee Meyers, D.O.

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1871648212
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M15101 007089 Issued in MI
Legal business name
RONALD LEE MEYERS, D.O.
Practice address
30050 Hoover Rd
Suite a
Warren, MI 48093-2544
Phone
(586) 754-4700
Fax
(586) 757-8909
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Ronald Lee Meyers, D.O.
Title
Physician
Phone
(586) 754-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M15101 007089 MI Primary

Addresses

Primary practice location

30050 Hoover Rd
Suite a
Warren, MI 48093-2544

Mailing address

55 E Long Lake Rd
PMB #104
Troy, MI 48085-4738

Other identifiers 1

IdentifierTypeStateIssuer
080E0 22000OtherMIBCBS-MI

National Provider Directory

National Provider Directory

Locations

55 E Long Lake Rd
Troy, MI 48085
Phone (248) 202-3779

55 E Long Lake Rd
Ste 104
Troy, MI 48085

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1871648212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E LONG LAKE RD",
            "address_2": "PMB #104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30050 HOOVER RD",
            "address_2": "SUITE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932544",
            "telephone_number": "586-754-4700",
            "fax_number": "586-757-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD LEE MEYERS, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-754-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "M15101 007089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MI",
            "identifier": "080E0 22000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • 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.