Individual provider Active NPI

Myra C Dove, MD

  • Obstetrics & Gynecology Physician
  • Ketchikan, AK
National Provider Identifier
1124025655
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
183932 Issued in AK
Practice address
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone
(907) 228-7688
Fax
(907) 228-8468
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9700825 NC
Obstetrics Physician 207VX0000X MD24630 ME
Obstetrics & Gynecology Physician 207V00000X 183932 AK Primary

Addresses

Primary practice location

3100 Tongass Ave
Ketchikan, AK 99901-5746

Mailing address

262 Fernbrook Dr
Mooresville, NC 28117-4404
Phone (336) 402-7339

Other practice location 1

24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-4700

Other practice location 2

1091 Kirkpatrick Rd
Burlington, NC 27215-9714
Phone (336) 538-1880

Other identifiers 2

IdentifierTypeStateIssuer
8910699MedicaidNC
006210759MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdove12412@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080111000296 NC Practitioner - Obstetrics/Gynecology 4880775220 Reassigns benefits to 2 organizations
I20240502002989 WA Practitioner - Obstetrics/Gynecology 4880775220

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, 724 clinicians

Practice addresses (Care Compare)

1091 Kirkpatrick Rd
Burlington, NC 27215-9714
Phone (336) 538-1880

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 379-4307

2921 Crouse LN
Burlington, NC 27215-8833
Phone (336) 538-1880

945 Golf House W Rd
Whitsett, NC 27377-9260
Phone (336) 449-4946

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091
  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
81.07

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.81 of 100Reported as group
Quality
86.48
Promoting interoperability
100
Improvement activities
40
Cost
76.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183932AKMDObstetrics & Gynecology Physician
9700825NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Medical Center, PA Current Accepting new patients
Appalachian Regional Medical Associates, Inc. Obstetrics & Gynecology CurrentSince Jan 23, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Obstetrics & Gynecology CurrentSince Jan 2, 2008 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

381 Deerfield Rd
Boone, NC 28607
Phone (828) 268-8970

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

1091 Kirkpatrick Rd
Burlington, NC 27215
Phone (336) 494-2063

2921 Crouse Ln
Burlington, NC 27215
Phone (336) 585-1212

801 Green Valley Rd
Greensboro, NC 27408
Phone (336) 282-4840

802 Green Valley Rd
Ste 200
Greensboro, NC 27408
Phone (336) 370-0277

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

3711 Elmsley St
Ste 101
Greensboro, NC 27406
Phone (336) 890-2165

621 S Main St
Ste 200
Reidsville, NC 27320
Phone (336) 349-4454

Interoperability endpoints

  • Direct secure messaging: mdove542358@direct.peacehealth.org
  • Direct secure messaging: mdove365758@direct.mmc.mainehealth.org

Organizations & group practices 4

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1124025655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 FERNBROOK DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174404",
            "telephone_number": "336-402-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015746",
            "telephone_number": "907-228-7688",
            "fax_number": "907-228-8468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Miles Center Way",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434067",
            "country_code": "US",
            "telephone_number": "207-563-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1091 Kirkpatrick Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272159714",
            "country_code": "US",
            "telephone_number": "336-538-1880",
            "fax_number": "336-538-1895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOVE",
        "first_name": "MYRA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9700825",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "ME",
            "license": "MD24630",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "183932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910699",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006210759",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdove12412@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1091 Kirkpatrick Rd",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272159714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

Verify at the official NPI Registry.