Provider Demographics
NPI:1215968698
Name:ARCHINARD, TOM-MEKA MICHELE (MD)
Entity type:Individual
Prefix:DR
First Name:TOM-MEKA
Middle Name:MICHELE
Last Name:ARCHINARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 7TH ST SE
Mailing Address - Street 2:DECATUR MORGAN HOSPITAL
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-3337
Mailing Address - Country:US
Mailing Address - Phone:256-973-2000
Mailing Address - Fax:
Practice Address - Street 1:1201 7TH ST SE
Practice Address - Street 2:DECATUR MORGAN HOSPITAL
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3337
Practice Address - Country:US
Practice Address - Phone:256-973-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07642500207P00000X
ALMD.32661207P00000X
IL036.149993207P00000X
MEMD22885207P00000X
MDD88555207P00000X
MIEMC0000519207P00000X
NH19441207P00000X
OK37255207P00000X
RIMD18389207P00000X
TN60363207P00000X
VT042.0016212-COMP207P00000X
WAMD61133960207P00000X
WV28817207P00000X
WI619-320207P00000X
IAMD-46689207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0029220Medicaid
NJ076423Medicare ID - Type Unspecified
NJ0029220Medicaid