MEDICARE: DR. ROGER VINCENT 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	207X00000X	Orthopaedic Surgery Physician	35-03-1119	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	000000020999	OTHER	OH	ANTHEM
3	0900641	OTHER	OH	UNITED HEALTH CARE
4	31119	OTHER	OH	HUMANA

General Provider Information

NPI Number	:	1972593762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROGER VINCENT MEYER M.D.

Provider Business Mailing Address
First Line	:	628 OVERTON ST
Second Line	:
City	:	NEWPORT
State	:	KY
Zip	:	41071-2010
Country	:	US
Telephone Number	:	859-431-1974
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 VINE ST
Second Line	:	VA MEDICAL CENTER
City	:	CINCINNATI
State	:	OH
Zip	:	45220-2213
Country	:	US
Telephone Number	:	513-861-3100
Fax Number	:	513-662-1854

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

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	07/08/2007

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