Individual provider Active NPI

Todd Richard Myers, M.D.

  • Family Medicine Physician
  • Ravenswood, WV
National Provider Identifier
1023011673
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19171 Issued in WV
Practice address
1113 Washington St
Ravenswood, WV 26164-1020
Phone
(740) 516-8133
NPI assigned
May 27, 2005
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19171 WV Primary
Obstetrics & Gynecology Physician 207V00000X 35075798M OH

Addresses

Primary practice location

1113 Washington St
Ravenswood, WV 26164-1020

Mailing address

406 4TH St
Marietta, OH 45750-2003
Phone (740) 516-8133

Other identifiers 3

IdentifierTypeStateIssuer
0093561000MedicaidWV
P01331374OtherOHRAILROAD MEDICARE - MHCPI
2150925MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000112 WV Practitioner - General PracticePractitioner - Obstetrics/Gynecology 4082687439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1113 Washington St
Suite 203
Ravenswood, WV 26164-1020
Phone (740) 516-0411

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35075798MOHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Todd R Myers MD LLC Family Medicine CurrentSince Sep 19, 1997 Accepting new patients
Marietta Gynecologic Associates, Inc. Obstetrics & Gynecology Current Accepting new patients
Womencare, Inc CurrentSince Jun 7, 2021 Accepting new patients
Womencare Inc CurrentSince Jun 7, 2021 Accepting new patients

Locations

410 2nd St
Marietta, OH 45750
Phone (740) 374-3622

108 Washington St W
#201
Charleston, WV 25302
Phone (304) 757-4845

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

1113 Washington St
#203
Ravenswood, WV 26164
Phone (304) 273-9482

1113 Washington St
Ste 203
Ravenswood, WV 26164
Phone (304) 273-9482

Interoperability endpoints

  • Direct secure messaging: todd.myers@mmhs.medicity.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1023011673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 4TH ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502003",
            "telephone_number": "740-516-8133",
            "fax_number": "740-568-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 WASHINGTON ST",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641020",
            "telephone_number": "740-516-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "TODD",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "19171",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35075798M",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093561000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - MHCPI",
            "identifier": "P01331374",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150925",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenswood, WV

Sources for this page

Verify at the official NPI Registry.