Individual provider Active NPI

Earl Frederick Myers III, CST/CSFA, BSC

  • Surgical Assistant
  • Lancaster, PA
National Provider Identifier
1003172255
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
140000 Issued in PA
Practice address
1504 Hillcrest Rd
Lancaster, PA 17603-2417
Phone
(717) 575-7315
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 132335 PA
Surgical Assistant 246ZC0007X 140000 PA Primary

Addresses

Primary practice location

1504 Hillcrest Rd
Lancaster, PA 17603-2417

Mailing address

1504 Hillcrest Rd
Lancaster, PA 17603-2417
Phone (717) 575-7315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
140000PAMDSurgical Assistant
132335PAMDSurgical Technologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1003172255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 HILLCREST RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032417",
            "telephone_number": "717-575-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 HILLCREST RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032417",
            "telephone_number": "717-575-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "EARL",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CST/CSFA, BSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "PA",
            "license": "132335",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "PA",
            "license": "140000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.