Provider Demographics
NPI:1740229814
Name:MEADOWS, JOHN O (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:O
Last Name:MEADOWS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:560 RIVERSIDE DR
Mailing Address - Street 2:STE B202
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801
Mailing Address - Country:US
Mailing Address - Phone:410-543-0600
Mailing Address - Fax:410-543-9480
Practice Address - Street 1:560 RIVERSIDE DR
Practice Address - Street 2:STE B202
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801
Practice Address - Country:US
Practice Address - Phone:410-543-0600
Practice Address - Fax:410-543-9480
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2020-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD19822207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5932Medicare PIN
MD564P163HMedicare PIN
MDD73772Medicare UPIN