Active NPI
Myrtho Ceran, MD
- Psychiatry Physician
- Hinesville, GA
National Provider Identifier
1154357390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 08 00266
- Practice address
- 1300 Independence Place Dr Apt 324
Hinesville, GA 31313-9594 - Phone
- (607) 244-3774
- NPI assigned
- Jun 22, 2006
- Last updated
- Jun 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 08 00266 | KS | Primary |
Addresses
Primary practice location
1300 Independence Place Dr Apt 324
Hinesville, GA 31313-9594
Mailing address
1300 Independence Place Dr Apt 324
Hinesville, GA 31313-9594
Phone (607) 244-3774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08 00266 | KS | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1154357390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 INDEPENDENCE PLACE DR APT 324",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313139594",
"telephone_number": "607-244-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 INDEPENDENCE PLACE DR APT 324",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313139594",
"telephone_number": "607-244-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERAN",
"first_name": "MYRTHO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KS",
"license": "08 00266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.