Provider Demographics
NPI:1972599082
Name:MEUSER, ROBERT M (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:MEUSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2333
Mailing Address - Country:US
Mailing Address - Phone:724-775-2112
Mailing Address - Fax:724-775-2131
Practice Address - Street 1:274 3RD ST
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2333
Practice Address - Country:US
Practice Address - Phone:724-775-2112
Practice Address - Fax:724-775-2131
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042819L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA020029723OtherRAILROAD MEDICARE
PA020029723OtherRAILROAD MEDICARE
PA742079LLSMedicare ID - Type Unspecified
PA0014146660001Medicare ID - Type Unspecified