Provider Demographics
NPI:1275730673
Name:ROBERT B. MEEK, III, M.D.PA.
Entity Type:Organization
Organization Name:ROBERT B. MEEK, III, M.D.PA.
Other - Org Name:ANNE ARUNDEL ENT
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:MEEK
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:410-573-9191
Mailing Address - Street 1:600 RIDGELY AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1001
Mailing Address - Country:US
Mailing Address - Phone:410-573-9191
Mailing Address - Fax:410-573-5910
Practice Address - Street 1:600 RIDGELY AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1001
Practice Address - Country:US
Practice Address - Phone:410-573-9191
Practice Address - Fax:410-573-5910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2022-10-27
Deactivation Date:2022-03-02
Deactivation Code:
Reactivation Date:2022-10-27
Provider Licenses
StateLicense IDTaxonomies
MDG25249174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD584AANOtherBC BSGROUP NO.
MD584AANOtherBC BSGROUP NO.
MDB66936Medicare UPIN
MDG25249Medicare UPIN