Provider Demographics
NPI:1598863805
Name:MEYERS, JAMES H (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:MEYERS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1741 KENSINGTON PLACE LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2748
Mailing Address - Country:US
Mailing Address - Phone:502-451-7235
Mailing Address - Fax:502-451-9984
Practice Address - Street 1:4500 CONAEM DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-1961
Practice Address - Country:US
Practice Address - Phone:502-456-4700
Practice Address - Fax:502-451-9984
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2010-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY20107207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYH04332Medicare UPIN
KY0998220Medicare PIN