MEDICARE: DR. PAUL E MEANS JR. D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS009820L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073514246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL E MEANS JR. D.O.

Provider Business Mailing Address
First Line	:	109 CROSSROADS RD
Second Line	:	SUITE 201
City	:	SCOTTDALE
State	:	PA
Zip	:	15683-2458
Country	:	US
Telephone Number	:	724-887-5989
Fax Number	:	724-887-0129

Provider Business Practice Location Address
First Line	:	109 CROSSROADS RD
Second Line	:	SUITE 201
City	:	SCOTTDALE
State	:	PA
Zip	:	15683-2458
Country	:	US
Telephone Number	:	724-887-5989
Fax Number	:	724-887-0129

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	04/21/2022

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