1619156866 NPI number — EDWARD G MYERS DO INC

Table of content: (NPI 1619156866)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619156866 NPI number — EDWARD G MYERS DO INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EDWARD G MYERS DO INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619156866
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2581 NORTH RD NE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARREN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44483-3052
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-372-5200
Provider Business Mailing Address Fax Number:
330-372-4437

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2581 NORTH RD NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARREN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44483-3052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-372-5200
Provider Business Practice Location Address Fax Number:
330-372-4437
Provider Enumeration Date:
10/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MYERS
Authorized Official First Name:
EDWARD
Authorized Official Middle Name:
GLENN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
330-372-5200

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  34-004585 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000138346 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0757426 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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