Dr Kevin S Myers MDSC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DR KEVIN S MYERS MDSC

Practice address

1440 N 25TH St
Sheboygan, WI 53081-3108

Phone

(920) 457-9100

Fax

(920) 457-1461

NPI assigned

Dec 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kevin S Myers, MD

Title

MD

Phone

(920) 457-9100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1063741098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N 25TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813108",
            "telephone_number": "920-457-9100",
            "fax_number": "920-457-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N 25TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813108",
            "telephone_number": "920-457-9100",
            "fax_number": "920-457-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KEVIN S MYERS MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "920-457-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas R. Martin DDS SC
• Rebecca Ann Dourn, COTA
• Madison Dowidat
• Kaitlin Marie Downey, OTR, CLT
• Lisa Dozier, LPC
• Dr Thomas J Zweifel SC
• Nicholas John Draeger, D.O.
• Kristi Duban, PHARMD
• Larry L Duenk, M.D.
• Debra Ann Duerwaechter, RN

• Dermatology Physician in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.