Individual provider Active NPI

Thomas B. Styer, M.D.

  • Emergency Medicine Physician
  • Paintsville, KY
National Provider Identifier
1326027103
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
23196 Issued in KY
Practice address
625 James S. Trimble Blvd.
Paintsville, KY 41240-1055
Phone
(606) 789-3511
Fax
(606) 789-1432
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23196 KY Primary
Pediatrics Physician 208000000X 23196 KY

Addresses

Primary practice location

625 James S. Trimble Blvd.
Paintsville, KY 41240-1055

Mailing address

PO Box 409013
Atlanta, GA 30384-9013
Phone (800) 377-8721

Other identifiers 9

IdentifierTypeStateIssuer
5490OtherKYMEDICARE GROUP
5491OtherKYMEDICARE GROUP
0104896-000MedicaidWV
8001OtherKYMEDICARE GROUP
930034855OtherRAILROAD
6649OtherKYMEDICARE GROUP
000000054162OtherKYBLUECROSS BLUESHIELD
0728583MedicaidOH
64231962MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Team Radiology Physicians, PA Past Accepting new patients
Jackson Hospital Corporation Emergency Medicine Past Accepting new patients
Nes Kentucky, Inc. Emergency Medicine Past Accepting new patients
Williamson Emergency Physicians LLC Emergency Medicine Past Accepting new patients
National Emergency Services West Virginia Inc Emergency Medicine Past Accepting new patients
Our Lady of the Way Hospital, Inc Past Accepting new patients

Organizations & group practices 6

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1326027103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409013",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849013",
            "telephone_number": "800-377-8721",
            "fax_number": "304-523-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 JAMES S. TRIMBLE BLVD.",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401055",
            "telephone_number": "606-789-3511",
            "fax_number": "606-789-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYER",
        "first_name": "THOMAS",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "23196",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "23196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "5490",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "5491",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104896-000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "8001",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "930034855",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "6649",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "000000054162",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0728583",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64231962",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.