Healthcare Provider Details

I. General information

NPI: 1750478590
Provider Name (Legal Business Name): TIMOTHY MICHAEL MEIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 03/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 E BROAD ST SUITE 1400
COLUMBUS OH
43215-3842
US

IV. Provider business mailing address

1331 N ELM ST SUITE 200
GREENSBORO NC
27401-6302
US

V. Phone/Fax

Practice location:
  • Phone: 614-221-3303
  • Fax:
Mailing address:
  • Phone: 336-274-9617
  • Fax: 336-482-2177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number35.092053
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number46338-020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: