=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134229057
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PAUL J MEYERS MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/22/2006
-----------------------------------------------------
Last Update Date | 09/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 310 E WALNUT ST
-----------------------------------------------------
City | GARDEN CITY
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67846-5572
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-275-9752
-----------------------------------------------------
Fax | 620-275-4306
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8580 MAGELLAN PKWY
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23227-1149
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-765-5206
-----------------------------------------------------
Fax | 804-765-5809
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 0101046660
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 04-51700
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------