Active NPI
Theresa Myers, MD
- Obstetrics & Gynecology Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MDR7493
- Practice address
- 3288 Moanalua Rd
Honolulu, HI 96819-1469 - Phone
- (808) 265-9205
- NPI assigned
- May 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MDR7493 | HI | Primary |
Addresses
Primary practice location
3288 Moanalua Rd
Honolulu, HI 96819-1469
Mailing address
1319 Punahou St # 824
Honolulu, HI 96826-1080
Phone (503) 807-7305
Other practice location 1
1319 Punahou St Ste 824
Honolulu, HI 96826-1032
Phone (808) 203-6518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Washington School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 Alturas Dr
Suite 101
Moscow, ID 83843-3263
Phone (208) 883-0813
1205 SE Professional Mall Blvd
Suite 102
Pullman, WA 99163-5423
Phone (509) 332-7511
Hospital & facility affiliations
- Gritman Medical Center
- Pullman Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR7493 | HI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devlin & Huberty PS | Obstetrics & Gynecology | Current | Accepting new patients |
| Devlin & Huberty PS | Current | Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients |
Locations
1150 Alturas Dr
Ste 101
Moscow, ID 83843
Phone (208) 310-7773
1205 SE Professional Mall Blvd
Ste 102
Pullman, WA 99163
Phone (509) 332-7511
Interoperability endpoints
- tmyers689740@direct.ochin.org
Organizations & group practices 3
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.
-
- Critical Care Medicine (Obstetrics & Gynecology) Physician
- Pullman, WA
- NPI 1386709624
ID
-
- Obstetrics & Gynecology Physician
- Pullman, WA
- NPI 1063582971
-
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Moscow, ID
- NPI 1619988144
-
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1326538828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST # 824",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261080",
"telephone_number": "503-807-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3288 MOANALUA RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191469",
"telephone_number": "808-265-9205"
}
],
"practiceLocations": [
{
"address_1": "1319 Punahou St Ste 824",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968261032",
"country_code": "US",
"telephone_number": "808-203-6518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "THERESA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "HI",
"license": "MDR7493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.