Healthcare Provider Details

I. General information

NPI: 1356979249
Provider Name (Legal Business Name): DANIEL ROBERT MEIS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 GOODYEAR AVE
GADSDEN AL
35903-1195
US

IV. Provider business mailing address

811 E PARRISH AVE
OWENSBORO KY
42303-3258
US

V. Phone/Fax

Practice location:
  • Phone: 256-494-4000
  • Fax:
Mailing address:
  • Phone: 270-688-1228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDO.2790
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number5469
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR5360
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: