Shelly R Myers, D.O.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

005397 Issued in AZ

Practice address

4520 N 12TH St
Suite #103
Phoenix, AZ 85014-4233

Phone

(602) 753-2345

Fax

(855) 588-4647

NPI assigned

Dec 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Arizona Supportive Care, LLC

  • Specialist
  • Phoenix, AZ
  • NPI 1710279385
  Medicare reassignment NPD
• Hospice of the Valley

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1588682405

  Geriatric Medicine

  NPD (past)
• MH 7 LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1710255088
  NPD (past)
• Mobile Therapy 7, LLC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1194083758
  NPD (past)
• Tri-City Express Care, PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1649554940
  NPD (past)

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1265617013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 N 12TH ST",
            "address_2": "SUITE #103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144233",
            "telephone_number": "602-753-2345",
            "fax_number": "855-588-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 N 12TH ST",
            "address_2": "SUITE #103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144233",
            "telephone_number": "602-753-2345",
            "fax_number": "855-588-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SHELLY",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "005397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A. Myers, MD
• Rochelle Ann Myers, O.D.
• Sandra Myers, CRNA
• Scott Gene Myers, DMD
• Shannon Stuart Myers, FNP-C
• Susan Myers
• Myeyedr Optometry of Washington, PLLC
• Myeyedr Optometry of Washington, PLLC
• Myeyedr Optometry of Washington, PLLC
• Myeyedr Optometry of Washington, PLLC

• Geriatric Medicine (Family Medicine) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Geriatric Medicine (Family Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.