Individual provider Active NPI

Mary Lou Meengs, M.D.

  • Family Medicine Physician
  • Eureka, CA
National Provider Identifier
1962650358
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G86644 Issued in CA
Practice address
2662 Harris St
Eureka, CA 95503-4856
Phone
(707) 443-4563
Fax
(707) 443-2527
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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 G86644 CA Primary

Addresses

Primary practice location

2662 Harris St
Eureka, CA 95503-4856

Mailing address

2662 Harris St
Eureka, CA 95503-4856
Phone (707) 443-4563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131218000060 CA Practitioner - Family Practice 8527295658 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G86644CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt del Norte Independent Practice Association Family Medicine CurrentSince Oct 10, 2013 Accepting new patients

Locations

2662 Harris St
Eureka, CA 95503
Phone 707443446314

2316 Harrison Ave
Eureka, CA 95501
Phone (707) 442-0478

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1962650358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034856",
            "telephone_number": "707-443-4563",
            "fax_number": "707-443-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034856",
            "telephone_number": "707-443-4563",
            "fax_number": "707-443-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEENGS",
        "first_name": "MARY",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G86644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.