Healthcare Provider Details

I. General information

NPI: 1700465325
Provider Name (Legal Business Name): TAYLOR MARIE MEYERS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR MARIE HODGES M.D.

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 W LOSEY ST
SCOTT AIR FORCE BASE IL
62225-5250
US

IV. Provider business mailing address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 618-256-9355
  • Fax:
Mailing address:
  • Phone: 301-319-8278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101276552
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: