MEDICARE: DR. JOEL EDWARD MEYER M.D.

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	0101242646	VA
2	207Q00000X	Family Medicine Physician	2022031685	MO

General Provider Information

NPI Number	:	1689652752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL EDWARD MEYER M.D.

Provider Business Mailing Address
First Line	:	4400 E 39TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64128-2818
Country	:	US
Telephone Number	:	816-791-7177
Fax Number	:	816-791-7191

Provider Business Practice Location Address
First Line	:	4400 E 39TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64128-2818
Country	:	US
Telephone Number	:	816-791-7177
Fax Number	:	816-791-7191

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	10/28/2022

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