Dale R Myers MD PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

7160A Issued in WY

Legal business name

DALE R MYERS MD PC

Practice address

1613 Stampede Ave
Suite a
Cody, WY 82414-4710

Phone

(307) 587-1155

Fax

(307) 587-1166

NPI assigned

Oct 25, 2007

Last updated

Oct 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dale R Myers, MDNPI 1053312827

Title

Owner

Phone

(307) 587-1155

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dale R Myers, MD

  • Gynecology Physician
  • Cody, WY
  • NPI 1053312827
  Medicare reassignment Care Compare group NPD Authorized official
• Brooke Ashley Cerkovnik, PA-C

  • Physician Assistant
  • Cody, WY
  • NPI 1881177079
  Medicare reassignment Care Compare group
• Sally J Whitman, PA-C

  • Medical Physician Assistant
  • Cody, WY
  • NPI 1629034848
  Medicare reassignment Care Compare group
• Charles G Welch, M.D.

  • Surgery Physician
  • Cody, WY
  • NPI 1225027097
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1083893127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 STAMPEDE AVE",
            "address_2": "SUITE A",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144710",
            "telephone_number": "307-587-1155",
            "fax_number": "307-587-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 STAMPEDE AVE",
            "address_2": "SUITE A",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144710",
            "telephone_number": "307-587-1155",
            "fax_number": "307-587-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE R MYERS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-587-1155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WY",
            "license": "7160A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120532300",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "313292",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree M Crosby
• Gregory H Cross II, MD
• CSL-Cody, LLC
• Kristin Cuddy
• Susan Curci
• Cailyn Nicole Dallman
• Dan Cossaboon Group
• Johanna Kate Danforth, BCBA
• Pam Danforth, PHARMD
• Daniel Cossaboon Private Practice LLC

• Gynecology Physician in Cody, WY
• Providers in Cody, WY by specialty
• Gynecology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.