Provider Demographics
NPI:1154469203
Name:MERIWETHER, JOHN NEILSON (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:NEILSON
Last Name:MERIWETHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1117 S HIGH SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:KS
Mailing Address - Zip Code:66725
Mailing Address - Country:US
Mailing Address - Phone:417-621-8683
Mailing Address - Fax:
Practice Address - Street 1:206 S GRAND AVE
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:KS
Practice Address - Zip Code:66536-1637
Practice Address - Country:US
Practice Address - Phone:785-437-3734
Practice Address - Fax:785-437-6186
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-32204207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine