Provider Demographics
NPI:1548216609
Name:MEACHAM, JAMES E (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:MEACHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4925 S SCATTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46013-2911
Mailing Address - Country:US
Mailing Address - Phone:765-442-0402
Mailing Address - Fax:
Practice Address - Street 1:4925 S SCATTERFIELD RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013-2911
Practice Address - Country:US
Practice Address - Phone:765-442-0402
Practice Address - Fax:765-298-8672
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01031885A207RE0101X, 2083A0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100226310Medicaid
INE12221Medicare UPIN
IN100226310Medicaid
INP00396967Medicare PIN
IN264430HHMedicare PIN
IN250120BMedicare PIN
IN797660EMedicare PIN