Basic Information
| Provider Information | |||||||||
| NPI: | 1417174129 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MEIER | ||||||||
| FirstName: | JOSHUA | ||||||||
| MiddleName: | WILLIAM | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 766351 | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606776351 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5025889490 | ||||||||
| FaxNumber: | 5022725116 | ||||||||
| Practice Location | |||||||||
| Address1: | 3999 DUTCHMANS LN STE 6F | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402074729 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5023945678 | ||||||||
| FaxNumber: | 5023945600 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2007 | ||||||||
| LastUpdateDate: | 07/21/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XP3100X | M6288 | TX | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Pediatric Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 200929770 | 01 | IN | MEDICAID - IN / COOL | OTHER | 50021548 | 01 | KY | PASSPORT - COOL | OTHER | 9745278 | 01 | KY | CIGNA - CMA | OTHER | 097730 | 01 | KY | SIHO - COOL | OTHER | 000000575534 | 01 | KY | ANTHEM - NMA | OTHER | 000023033V | 01 | KS | HUMANA - CMA | OTHER | 00533063 | 01 | KY | MEDICARE KY - COOL | OTHER | 3580237000 | 01 | KY | PASSPORT ADVTG - COOL | OTHER | 7100066990 | 01 | KY | MEDICAID - KY | OTHER |