Individual provider Active NPI

Gregory Meyer, MD

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1922088251
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18523 Issued in AZ
Practice address
5891 W Eugie Ave
Glendale, AZ 85304-1252
Phone
(602) 588-6600
NPI assigned
Jan 20, 2006
Last updated
Dec 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18523 AZ Primary

Addresses

Primary practice location

5891 W Eugie Ave
Glendale, AZ 85304-1252

Mailing address

5891 W Eugie Ave
Glendale, AZ 85304-1252
Phone (602) 588-6600

Other identifiers 1

IdentifierTypeStateIssuer
171380MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000371 AZ Practitioner - Internal Medicine 1052349743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18523AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jan 1, 2004 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jan 1, 2004 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients

Locations

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

7734 N 59th Ave
Glendale, AZ 85301
Phone (602) 371-2515

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13041 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 977-7201

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1922088251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5891 W EUGIE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041252",
            "telephone_number": "602-588-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5891 W EUGIE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041252",
            "telephone_number": "602-588-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "18523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171380",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.