Healthcare Provider Details

I. General information

NPI: 1225045719
Provider Name (Legal Business Name): DAVID G MEYERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19550 E 39TH ST S STE 335
INDEPENDENCE MO
64057-2311
US

IV. Provider business mailing address

19550 E 39TH ST S STE 335
INDEPENDENCE MO
64057-2311
US

V. Phone/Fax

Practice location:
  • Phone: 816-350-0005
  • Fax: 816-350-0015
Mailing address:
  • Phone: 816-350-0005
  • Fax: 816-350-0001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number04-24893
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number104966
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number104966
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: