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NPI Code Detail

MEDICARE: JOSEPH MEYERSON

MEDICARE: JOSEPH MEYERSON
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
1208200000XPlastic Surgery PhysicianMD60925851WA
2208200000XPlastic Surgery Physician57OH

General Provider Information

NPI Number : 1588919617
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH MEYERSON
Provider Business Mailing Address
First Line : 915 OLENTANGY RIVER RD STE 2100
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-3154
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 834 SHERIDAN ST
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2443
Country : US
Telephone Number : 360-379-2289
Fax Number : 360-379-2297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2012
Last Update Date : 03/02/2026

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