Active NPI
Myers Orthopaedics LLC
- Orthopaedic Surgery Physician
- Gulfport, MS
National Provider Identifier
1194507574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MYERS ORTHOPAEDICS LLC
- Practice address
- 15190 Community Rd Ste 120
Gulfport, MS 39503-3484 - Phone
- (228) 575-7287
- Fax
- (228) 831-8782
- NPI assigned
- Oct 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip Myers, DO
- Title
- Owner
- Phone
- (228) 575-7287
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
15190 Community Rd Ste 120
Gulfport, MS 39503-3484
Mailing address
15190 Community Rd Ste 120
Gulfport, MS 39503-3484
Phone (228) 575-7287
Other names 1
- Myers Orthopaedics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250102003603 | MS | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 1557898525 | Practice locations: Gulfport, MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Gulfport, MS
- NPI 1003254525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705363200000",
"number": "1194507574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15190 COMMUNITY RD STE 120",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033484",
"telephone_number": "228-575-7287",
"fax_number": "228-831-8782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15190 COMMUNITY RD STE 120",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033484",
"telephone_number": "228-575-7287",
"fax_number": "228-831-8782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYERS ORTHOPAEDICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-19",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-575-7287",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Myers Orthopaedics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.