Provider Demographics
NPI:1891914198
Name:MEIER, MATTHEW J (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:J
Last Name:MEIER
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 1:4700 E GALBRAITH RD
Mailing Address - Street 2:STE 105
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2726
Mailing Address - Country:US
Mailing Address - Phone:513-924-8860
Mailing Address - Fax:513-924-8861
Practice Address - Street 1:4700 E GALBRAITH RD
Practice Address - Street 2:STE 105
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2726
Practice Address - Country:US
Practice Address - Phone:513-924-8860
Practice Address - Fax:513-924-8861
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35095306207N00000X
OH57011705207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3052664Medicaid
OHH036891Medicare PIN