1538249206 NPI number — MERIDIAN RHEUMATOLOGY ASSOCIATES PLLC

Table of content: (NPI 1538249206)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538249206 NPI number — MERIDIAN RHEUMATOLOGY ASSOCIATES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MERIDIAN RHEUMATOLOGY ASSOCIATES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
STEPHEN V EPPLER MD PC
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538249206
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9570 S KINGSTON CT
Provider Second Line Business Mailing Address:
SUITE 220
Provider Business Mailing Address City Name:
ENGLEWOOD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80112-6004
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-762-6300
Provider Business Mailing Address Fax Number:
303-703-0169

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9570 S KINGSTON CT
Provider Second Line Business Practice Location Address:
SUITE 220
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80112-6003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-762-6300
Provider Business Practice Location Address Fax Number:
303-703-0169
Provider Enumeration Date:
10/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
EPPLER
Authorized Official First Name:
STEPHEN
Authorized Official Middle Name:
V
Authorized Official Title or Position:
MD & PRESIDENT
Authorized Official Telephone Number:
303-762-6300

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 811029 . This is a "MEDICARE PTAN" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 01239201 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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