Individual provider Active NPI

Theresa Myers, MD

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
National Provider Identifier
1326538828
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MDR7493 Issued in HI
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

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220810002290 WA Practitioner - Obstetrics/Gynecology 1759764608 Reassigns benefits to 1 organization
I20220907003281 ID Practitioner - Obstetrics/Gynecology 1759764608 Reassigns benefits to 1 organization

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
Devlin and Huberty PSGroup PAC ID 2668360934, 5 clinicians

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 Hospital, Moscow, ID, CCN 131327
  • Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR7493HIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Devlin & Huberty PS Obstetrics & Gynecology CurrentSince Aug 3, 2022 Accepting new patients
Devlin & Huberty PS CurrentSince Aug 3, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.