JOHN D MESKO M.D. NPI 1003822016

NPI Information

NPI: 1003822016
Provider Name: JOHN D MESKO, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
403 NORTH MORROW
SUITE A
MENA, AR
ZIP 71953
Phone: (479) 394-4595
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John D Mesko, M.D. is a specialist in Mena, AR with 38 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. John D Mesko, M.D. NPI is 1003822016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1986

The provider's business location address is:

403 NORTH MORROW
SUITE A
MENA, AR
ZIP 71953
Phone: (479) 394-4595
Fax: (479) 394-1140

The NPI 1003822016 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 11/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		C6220	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50764	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS
2	100071960 A	MEDICAID	OKLAHOMA
3	710709244	OTHER	ARKANSAS	TAX ID #
4	C-67911	MEDICARE UPIN	ARKANSAS
5	112972001	MEDICAID	ARKANSAS
6	50764	OTHER	ARKANSAS	BLUE CROSS BLUE SHEILD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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