Christopher Robert Myers, DO
Individual provider Active NPI Surgery Physician · Arcata, CA
NPI 1336554302 · NPPES record last updated Aug 4, 2022
Key facts
- NPI
- 1336554302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 17058 (CA)
- Practice address
- 1600 Weeot Way
Arcata, CA 95521-4734 - Phone
- (707) 825-5000
- NPI assigned
- Jun 27, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Owned or controlled facilities with NPI records 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 8
| Facility | Type | Role | Since |
|---|---|---|---|
| Potawot Health Village |
Federally qualified health center | Corporate Officer Operational/Managerial Control |
Sep 20, 2021 Sep 20, 2021 |
| United Indian Health Services, Inc. |
Federally qualified health center | Corporate Officer Operational/Managerial Control |
Sep 20, 2021 Sep 20, 2021 |
| United Indian Health Services, Inc. |
Federally qualified health center | Corporate Officer Operational/Managerial Control |
Sep 20, 2021 Sep 20, 2021 |
| United Indian Health Services, Inc. |
Federally qualified health center | Corporate Officer Operational/Managerial Control |
Sep 20, 2021 Sep 20, 2021 |
| United Indian Health Services, Inc. |
Federally qualified health center | Corporate Officer Operational/Managerial Control |
Sep 20, 2021 Sep 20, 2021 |
| Xaa-Wan'-K'WVT Clinic |
Federally qualified health center | Corporate Officer Operational/Managerial Control |
Sep 20, 2021 Sep 20, 2021 |
| United Indian Health Services, Inc. |
Federally qualified health center | Corporate Officer | Sep 20, 2021 |
| United Indian Health Services, Inc. |
Federally qualified health center | Corporate Officer | Sep 20, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191014002749 | CA | Practitioner - General Surgery | 8123398427 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Pacific Cardiology Medical | Current |
Accepting new patients | |
| United Indian Health Services, Inc. | Current | Accepting new patients | |
| United Indian Health Services, Inc. | Current |
Accepting new patients | |
| United Indian Health Services, Inc. | Current |
Accepting new patients |
Locations
3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621
1600 Weeot Way
Arcata, CA 95521
Phone (707) 825-5000
Interoperability endpoints
- cmyers813584@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 17058 | CA | Yes |
Addresses
Primary practice location
1600 Weeot Way
Arcata, CA 95521-4734
Mailing address
PO Box 306
Arcata, CA 95518-0306
Other providers in Arcata, CA
- Multiplicity Therapeutic Services
- Carole Ann Murphy
- Caroline Wiecking Murphy
- Loretta Murphy
- Ashlee M Murrieta
- Melinda Myers
- Susan E. Neander
- Paula Ann Nedelcoff
- Amy Nicole Neff
- Lauren Nelson
All providers in Arcata, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.