Todd R Myers MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TODD R MYERS MD LLC

Practice address

1113 Washington St
Suite 203
Ravenswood, WV 26164-1020

Phone

(304) 273-9482

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Todd R Myers, MDNPI 1023011673

Title

Owner

Phone

(740) 516-0411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Todd Richard Myers, M.D.

  • Family Medicine Physician
  • Ravenswood, WV
  • NPI 1023011673
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1184914947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 4TH ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 WASHINGTON ST",
            "address_2": "SUITE 203",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641020",
            "telephone_number": "304-273-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD R MYERS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-516-0411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamela Stump
• Mackenzie Mae Stutler
• Margaret Tatrai
• Bobbi Jo Teasley, LPC, ALPS
• Amanda Jo Thomas, PHARM.D.
• Brianna Tracewell
• Jacqueline Tyszkiewicz
• Christopher Valle
• Jeffery Dean Vankirk
• Stephanie Lynn Vickers, RN

• Family Medicine Physician in Ravenswood, WV
• Providers in Ravenswood, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.