Provider Demographics
NPI:1205012044
Name:MCMEEKIN, THOMAS WILLIAM (DPM)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:WILLIAM
Last Name:MCMEEKIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10463 DOUBLE R BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-5866
Mailing Address - Country:US
Mailing Address - Phone:775-355-8812
Mailing Address - Fax:775-358-1413
Practice Address - Street 1:10463 DOUBLE R BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5866
Practice Address - Country:US
Practice Address - Phone:775-355-8812
Practice Address - Fax:775-358-1413
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV59213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV5435380001Medicare NSC
NVV40448Medicare PIN
NVT67299Medicare UPIN