Provider Demographics
NPI:1538249206
Name:MERIDIAN RHEUMATOLOGY ASSOCIATES PLLC
Entity type:Organization
Organization Name:MERIDIAN RHEUMATOLOGY ASSOCIATES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:V
Authorized Official - Last Name:EPPLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-762-6300
Mailing Address - Street 1:9570 S KINGSTON CT
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6004
Mailing Address - Country:US
Mailing Address - Phone:303-762-6300
Mailing Address - Fax:303-703-0169
Practice Address - Street 1:9570 S KINGSTON CT
Practice Address - Street 2:SUITE 220
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-6003
Practice Address - Country:US
Practice Address - Phone:303-762-6300
Practice Address - Fax:303-703-0169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO811029OtherMEDICARE PTAN
CO01239201Medicaid
COC28591Medicare PIN