MEDICARE: DR. JODEE B MEDDY 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	207P00000X	Emergency Medicine Physician	010724	AZ
2	207P00000X	Emergency Medicine Physician	OS015520	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	:	1699934240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JODEE B MEDDY D.O.

Provider Business Mailing Address
First Line	:	PO BOX 35130
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85740-5130
Country	:	US
Telephone Number	:	520-207-0028
Fax Number	:	520-207-5075

Provider Business Practice Location Address
First Line	:	4744 EAST SUNRISE DRIVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718
Country	:	US
Telephone Number	:	520-207-0028
Fax Number	:

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

Provider Enumeration Date	:	06/07/2008
Last Update Date	:	12/17/2025

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