MEDICARE: TODD A MEYERHOEFER MD

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	208600000X	Surgery Physician	35-05-9482M	OH

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	:	1205838224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD A MEYERHOEFER MD

Provider Business Mailing Address
First Line	:	2600 TUSCARAWAS ST W
Second Line	:	STE 620
City	:	CANTON
State	:	OH
Zip	:	44708-4644
Country	:	US
Telephone Number	:	330-455-8000
Fax Number	:	330-455-6006

Provider Business Practice Location Address
First Line	:	2600 TUSCARAWAS ST W
Second Line	:	STE 620
City	:	CANTON
State	:	OH
Zip	:	44708-4644
Country	:	US
Telephone Number	:	330-455-8000
Fax Number	:	330-455-6006

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	12/12/2007

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Directions to “ TODD A MEYERHOEFER MD” Practice Location

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