Provider Demographics
NPI:1417082736
Name:MEYER, DONNA ANN (MD/AP)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:ANN
Last Name:MEYER
Suffix:
Gender:F
Credentials:MD/AP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:ANN
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1380 HIGH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-4396
Mailing Address - Country:US
Mailing Address - Phone:573-271-2927
Mailing Address - Fax:573-271-2928
Practice Address - Street 1:1380 HIGH ST STE 1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-4396
Practice Address - Country:US
Practice Address - Phone:573-271-2927
Practice Address - Fax:573-271-2928
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018023351207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO423403005Medicaid