Provider Demographics
NPI:1164598371
Name:CATHERINE E. MEIKLE, M.D., P.A.
Entity Type:Organization
Organization Name:CATHERINE E. MEIKLE, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MEIKLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-873-1329
Mailing Address - Street 1:325D KENNEDY MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-4530
Mailing Address - Country:US
Mailing Address - Phone:207-873-1329
Mailing Address - Fax:207-872-5542
Practice Address - Street 1:325D KENNEDY MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-4530
Practice Address - Country:US
Practice Address - Phone:207-873-1329
Practice Address - Fax:207-872-5542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME129960000Medicaid
MEE59619Medicare UPIN
MEMM6288Medicare PIN
ME129960000Medicaid