Myers & Miller Podiatry Inc

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

36003164M Issued in OH

Legal business name

MYERS & MILLER PODIATRY INC

Practice address

515 Union Ave
Suite 147
Dover, OH 44622-3004

Phone

(330) 339-6233

Fax

(330) 343-8460

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Adam Michael Myers, D.P.M.NPI 1972571545

Title

President/Physician

Phone

(330) 339-6233

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Michael Myers, DPM

  • Podiatrist
  • Dover, OH
  • NPI 1972571545
  Medicare reassignment Care Compare group NPD Authorized official
• Jason Todd Bakich, D.P.M.

  • Podiatrist
  • Dover, OH
  • NPI 1518945344
  Medicare reassignment Care Compare group NPD
• Chloe M Chisnell

  • Foot & Ankle Surgery Podiatrist
  • Dover, OH
  • NPI 1659800746
  Medicare reassignment Care Compare group NPD
• Kristen Ann Henry, D.P.M.

  • Podiatrist
  • Dover, OH
  • NPI 1770823379
  Medicare reassignment Care Compare group NPD
• Andrew Wade Miller, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Dover, OH
  • NPI 1093701476
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1336313774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 UNION AVE",
            "address_2": "SUITE 147",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223004",
            "telephone_number": "330-339-6233",
            "fax_number": "330-343-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 UNION AVE",
            "address_2": "SUITE 147",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223004",
            "telephone_number": "330-339-6233",
            "fax_number": "330-343-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYERS & MILLER PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "330-339-6233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36003164M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000579655",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2868884",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00664490",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00662344",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000579652",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "P00653532",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000579653",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mrs Mobile Radiologic Service LTD
• Mrs Mobile Radiologic Service LTD
• Mahaveer Mukkamalla, MD
• Amy Marie Musay, LPN
• Melissa Mutschelknaus, N.P.
• Myers Podiatry LLC
• Adam Michael Myers, DPM
• Alan Jay Myers, DDS
• Anne Miriam Myers, PC, CDCA
• Eric David Myers, PT

• Primary Podiatric Medicine Podiatrist in Dover, OH
• Providers in Dover, OH by specialty
• Primary Podiatric Medicine Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.