Provider Demographics
NPI:1962054585
Name:MEISER, ALEX T (NP-C)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:T
Last Name:MEISER
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MERZ BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-2895
Mailing Address - Country:US
Mailing Address - Phone:330-864-9000
Mailing Address - Fax:330-864-9004
Practice Address - Street 1:55 MERZ BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-2895
Practice Address - Country:US
Practice Address - Phone:330-864-9000
Practice Address - Fax:330-864-9004
Is Sole Proprietor?:No
Enumeration Date:2019-07-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024885363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0364988Medicaid