Individual provider Active NPI

Carol Showalter Myron, M.D.

  • Internal Medicine Physician
  • Bethel Park, PA
National Provider Identifier
1174515514
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD036785E Issued in PA
Practice address
2000 Oxford Dr Ste 420
Bethel Park, PA 15102-1841
Phone
(412) 942-8500
Fax
(412) 942-8519
NPI assigned
Aug 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD036785E PA Primary

Addresses

Primary practice location

2000 Oxford Dr Ste 420
Bethel Park, PA 15102-1841

Mailing address

1000 Bower Hill Road
Attn St Clair Hospital - Affiliate Billing - Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 942-2548

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100618000630 PA Practitioner - Internal Medicine 5193855666 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD036785EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Clair Medical Services Inc. CurrentSince Jul 1, 2011 Accepting new patients
St Clair Professional Services Inc CurrentSince Jun 9, 2014 Accepting new patients
St Clair Medical Services Inc CurrentSince Jul 1, 2011 Accepting new patients
St Clair Professional Services Inc CurrentSince Jun 9, 2014 Accepting new patients
St Clair Professional Services Inc Internal Medicine Current Accepting new patients
St Clair Medical Services, Inc. Internal Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2000 Oxford Dr
Ste 420
Bethel Park, PA 15102
Phone (412) 279-5372

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

300 Cedar Blvd
Pittsburgh, PA 15228
Phone (412) 561-1484

300 Cedar Blvd
Ste 1
Pittsburgh, PA 15228
Phone (412) 563-8211

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1174515514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 420",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021841",
            "telephone_number": "412-942-8500",
            "fax_number": "412-942-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRON",
        "first_name": "CAROL",
        "middle_name": "SHOWALTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD036785E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "2000 Oxford Dr Ste 420",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151021841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.