Provider Demographics
NPI:1609961150
Name:MEYR-CHERRY, WENDY LYNN (MD)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:LYNN
Last Name:MEYR-CHERRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 BEMIS HEIGHTS PLACE
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 FIRST CAPITOL DR
Practice Address - Street 2:SUITE 405
Practice Address - City:ST CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301
Practice Address - Country:US
Practice Address - Phone:636-947-2334
Practice Address - Fax:636-940-5739
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8H71207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO139762OtherHEALTHLINK
4277366OtherAETNA
851394OtherUNITED HEALTH CARE
S92006OtherEXCLUSIVE CHOICE
P00141248OtherMEDICARE RAILROAD
MO220443OtherBLUE CROSS BLUE SHIELD
324304OtherGROUP HEALTH PLAN
MO220443OtherBLUE CROSS BLUE SHIELD
MO139762OtherHEALTHLINK