Individual provider Active NPI

Pamela A Myers, MD

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1104860105
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME072378 Issued in FL
Practice address
11082 S Military TRL
Suite B46
Boynton Beach, FL 33436-7217
Phone
(561) 740-3299
Fax
(561) 740-3749
NPI assigned
Jun 16, 2006
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME072378 FL Primary
Internal Medicine Physician 207R00000X ME72378 FL

Addresses

Primary practice location

11082 S Military TRL
Suite B46
Boynton Beach, FL 33436-7217

Mailing address

11082 S Military TRL
Suite B46
Boynton Beach, FL 33436-7217
Phone (561) 740-3299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20061205000602 FL Practitioner - Internal Medicine 1456350297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Florida Health Care of BrevardGroup PAC ID 7911239108, 4 clinicians

Practice addresses (Care Compare)

11082 S Military TRL
B46
Boynton Beach, FL 33436-7217
Phone (561) 740-3299

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME072378FLMDInternal Medicine Physician
ME72378FLMDInternal Medicine Physician

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1104860105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11082 S MILITARY TRL",
            "address_2": "SUITE B46",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367217",
            "telephone_number": "561-740-3299",
            "fax_number": "561-740-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11082 S MILITARY TRL",
            "address_2": "SUITE B46",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367217",
            "telephone_number": "561-740-3299",
            "fax_number": "561-740-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME072378",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.