Adam David Myers, PA-C
Individual provider Active NPI Physician Assistant · Kirtland Afb, NM
NPI 1295103265 · NPPES record last updated Apr 23, 2020
Key facts
- NPI
- 1295103265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 2050A 2ND St SE
Kirtland Afb, NM 87117-5522 - Phone
- (505) 846-3562
- NPI assigned
- Sep 9, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
2050A 2ND St SE
Kirtland Afb, NM 87117-5522
Mailing address
2050A 2ND St SE
Kirtland Afb, NM 87117-5522
Phone (505) 846-3562
Other providers in Kirtland Afb, NM
- Consuelo L McCash
- Christopher McLaughlin
- Shane Mikesky
- Adrianna Miller
- Thomas O'Neal Moore
- Vanessa Maria Naimoli
- William James Negri
- Jon Richard Nelson
- Ronald Nelson
- Mark Noakes
All providers in Kirtland Afb, NM · Physician Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.