Active NPI
April L. Tyus-Myles, M.D.
- Pediatrics Physician
- Ferguson, MO
National Provider Identifier
1033199062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2002011476
- Practice address
- 3878 Pershall Rd
Ferguson, MO 63135-1246 - Phone
- (314) 839-7500
- Fax
- (314) 839-8545
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2002011476 | MO | Primary |
Addresses
Primary practice location
3878 Pershall Rd
Ferguson, MO 63135-1246
Mailing address
3878 Pershall Rd
Ferguson, MO 63135-1246
Phone (314) 839-7500
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002011476 | MO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1033199062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3878 PERSHALL RD",
"city": "FERGUSON",
"state": "MO",
"postal_code": "631351246",
"telephone_number": "314-839-7500",
"fax_number": "314-839-8545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3878 PERSHALL RD",
"city": "FERGUSON",
"state": "MO",
"postal_code": "631351246",
"telephone_number": "314-839-7500",
"fax_number": "314-839-8545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYUS-MYLES",
"first_name": "APRIL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2002011476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferguson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.