Healthcare Provider Details

I. General information

NPI: 1740797505
Provider Name (Legal Business Name): PATRICK MEYERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2018
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST
BALTIMORE MD
21287-0005
US

IV. Provider business mailing address

1161 21ST AVE N SUITE CCC-4303
NASHVILLE TN
37232-2730
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-5000
  • Fax:
Mailing address:
  • Phone: 615-343-6642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number68664
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: