MEDICARE: STEPHEN M MEYERS 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	207RC0000X	Cardiovascular Disease Physician	35.078295	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356340954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN M MEYERS MD

Provider Business Mailing Address
First Line	:	2055 HOSPITAL DR
Second Line	:	SUITE 340
City	:	BATAVIA
State	:	OH
Zip	:	45103-1978
Country	:	US
Telephone Number	:	513-735-7872
Fax Number	:	513-732-7863

Provider Business Practice Location Address
First Line	:	2055 HOSPITAL DR
Second Line	:	SUITE 340
City	:	BATAVIA
State	:	OH
Zip	:	45103-1978
Country	:	US
Telephone Number	:	513-735-7872
Fax Number	:	513-732-7863

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	11/12/2015

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Directions to “ STEPHEN M MEYERS MD” Practice Location

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