Provider Demographics
NPI:1659376960
Name:MEISTER, AMY M (DO)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:M
Last Name:MEISTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 SOUTHPOINTE BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-8572
Mailing Address - Country:US
Mailing Address - Phone:316-209-9116
Mailing Address - Fax:
Practice Address - Street 1:10632 PERRY HWY
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9245
Practice Address - Country:US
Practice Address - Phone:316-209-9116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS015102207R00000X
OH34.010317207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine