MEDICARE: DR. WILLIAM B. MEHARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	21769	WV
2	2085R0202X	Diagnostic Radiology Physician	47536-020	WI
3	2085R0202X	Diagnostic Radiology Physician	0101240978	VA
4	2085R0202X	Diagnostic Radiology Physician	39195	TN
5	2085R0202X	Diagnostic Radiology Physician	MD459690	PA
6	2085R0202X	Diagnostic Radiology Physician	39889	KY
7	2085R0202X	Diagnostic Radiology Physician	036112582	IL
8	2085R0202X	Diagnostic Radiology Physician	04330951	KS
9	2085R0202X	Diagnostic Radiology Physician	105364	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548293673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM B. MEHARD MD

Provider Business Mailing Address
First Line	:	11475 OLDE CABIN RD STE 200
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-7129
Country	:	US
Telephone Number	:	314-991-8200
Fax Number	:	314-991-8206

Provider Business Practice Location Address
First Line	:	16091 SWINGLEY RIDGE RD STE 100
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-2056
Country	:	US
Telephone Number	:	314-238-5260
Fax Number	:	314-821-1833

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	07/24/2025

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