Active NPI
Myra C Dove, MD
- Obstetrics & Gynecology Physician
- Ketchikan, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 183932
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8910699 | Medicaid | NC | |
| 006210759 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdove12412@direct.conehealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Alamance Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.78 of 100
- Quality
- 78.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.07
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.81 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 183932 | AK | MD | Obstetrics & Gynecology Physician |
| 9700825 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Medical Center, PA | Current | Accepting new patients | |
| Appalachian Regional Medical Associates, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| The Moses H Cone Memorial Hospital Operating Corporation | Obstetrics & Gynecology | Current | 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
- mdove542358@direct.peacehealth.org
- 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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
Obstetrics & Gynecology
-
- Family Medicine Physician
- Boone, NC
- NPI 1669533923
Obstetrics & Gynecology
-
- Family Medicine Physician
- Burlington, NC
- NPI 1548233182
-
- Maternal & Fetal Medicine Physician
- Greensboro, NC
- NPI 1891351847
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.