Individual provider Active NPI

John Robert Myers, M.D.

  • Critical Care Medicine (Obstetrics & Gynecology) Physician
  • Philadelphia, PA
National Provider Identifier
1326150459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VC0200X
License
OS012186 Issued in PA
Practice address
101 E Olney Ave
Suite C-5
Philadelphia, PA 19120-2421
Phone
(215) 244-8675
Fax
(215) 254-2529
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X OS012186 PA Primary

Addresses

Primary practice location

101 E Olney Ave
Suite C-5
Philadelphia, PA 19120-2421

Mailing address

101 E Olney Ave
Suite 505
Philadelphia, PA 19120-2421
Phone (215) 456-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20040802001013 PA Practitioner - Obstetrics/Gynecology 6204807530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

5401 Old York Rd
Philadelphia, PA 19141-3046

5501 Old York Rd
Phila, PA 19141-3018

5501 Old York Rd Levy 2
Einstein Pediatrics Associates
Philadelphia, PA 19141-3018
Phone (215) 456-6786

5501 Old York Rd WCB 4TH FLR
Einstein CT Surgery Assoc
Philadelphia, PA 19141-3018
Phone (215) 456-8270

7201 Rising Sun Ave
Philadelphia, PA 19111-3926
Phone (215) 745-3525

Hospital & facility affiliations

  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012186PAMDCritical Care Medicine (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan, Inc CurrentSince Jul 1, 2004 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2004 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients
Albert Einstein Medical Center Past Accepting new patients

Locations

5401 Old York Rd
Ste 410
Philadelphia, PA 19141
Phone (215) 456-6990

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5401 Old York Rd
Ste 4
Philadelphia, PA 19141
Phone (215) 456-6990

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

5501 Old York Rd
#410
Philadelphia, PA 19141
Phone (215) 456-6990

Interoperability endpoints

  • Direct secure messaging: john.myers@direct.einstein.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326150459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE",
            "address_2": "SUITE 505",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202421",
            "telephone_number": "215-456-7000",
            "fax_number": "215-254-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE",
            "address_2": "SUITE C-5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202421",
            "telephone_number": "215-244-8675",
            "fax_number": "215-254-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "PA",
            "license": "OS012186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.