Provider Demographics
NPI:1225045719
Name:MEYERS, DAVID G (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:MEYERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 S WOODS MILL RD
Mailing Address - Street 2:STE 310N
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3625
Mailing Address - Country:US
Mailing Address - Phone:314-576-6700
Mailing Address - Fax:314-576-6520
Practice Address - Street 1:222 S WOODS MILL RD
Practice Address - Street 2:STE 310N
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3625
Practice Address - Country:US
Practice Address - Phone:314-682-3630
Practice Address - Fax:314-682-3647
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO104966207R00000X, 207RC0000X
KS04-24893207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
20285041OtherBCBS KC
KS100116090CMedicaid
KS100860OtherBCBS KS OUTREACH CLINICS
MO201977717Medicaid
KS100116090BMedicaid
KS060064945Medicare PIN
KS100860OtherBCBS KS OUTREACH CLINICS
KS100860Medicare PIN
MO0386171AMedicare PIN
MO201977717Medicaid
MO0386171EMedicare PIN