Individual provider Active NPI

Carol L Myers, DO

  • Internal Medicine Physician
  • Wilkes Barre, PA
National Provider Identifier
1023073533
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS010344L Issued in PA
Practice address
1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone
(570) 808-6444
Fax
(570) 808-5040
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS010344L PA Primary

Addresses

Primary practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmyers263478@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060217000230 PA Practitioner - Internal Medicine 0143235762 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850

Hospital & facility affiliations

  • Pathways Healthcare Home health agency, Kingston, PA, CCN 397733
  • Bayada Home Health Care, Inc. Home health agency, Wilkes Barre, PA, CCN 397675
  • Allied Services Home Health Home health agency, Clarks Summit, PA, CCN 397167
  • Associated Family Home Care, Inc. Home health agency, Kingston, PA, CCN 397502
  • Aveanna Home Health Home health agency, West Pittston, PA, CCN 398067
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS010344LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Lehigh Valley Physician Group CurrentSince May 8, 2013 Accepting new patients
St. Luke'S Physician Group, Inc Internal Medicine CurrentSince Jan 15, 2006 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Lehigh Valley Physician Group Internal Medicine CurrentSince May 8, 2013 Accepting new patients
Geisinger Clinic CurrentSince May 1, 2020 Accepting new patients
Geisinger Clinic CurrentSince May 1, 2020 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jan 15, 2006 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

798 Hausman Rd
Ste 100
Allentown, PA 18104
Phone (610) 336-8260

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

2319 Union Blvd
Allentown, PA 18109
Phone (610) 435-0816

35 E Elizabeth Ave
Ste 37
Bethlehem, PA 18018
Phone (610) 865-1303

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178

100 N Academy Ave
Danville, PA 17822

1431 Nursery St
Ste 101A
Fogelsville, PA 18051
Phone (610) 336-8260

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

57 N Main St
Pittston, PA 18640
Phone (570) 602-5620

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

660 Baltimore Dr
Wilkes Barre, PA 18702
Phone (570) 808-6444

35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

Interoperability endpoints

  • Direct secure messaging: cmyers263478@direct.geisinger.edu

Organizations & group practices 11

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

Hospital & facility affiliations 69

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

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1023073533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-6444",
            "fax_number": "570-808-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS010344L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmyers263478@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 E Mountain Blvd",
            "city": "Wilkes Barre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187110027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.