Individual provider Active NPI

Christopher Robert Myers, DO

  • Surgery Physician
  • Arcata, CA
National Provider Identifier
1336554302
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17058 Issued in CA
Practice address
1600 Weeot Way
Arcata, CA 95521-4734
Phone
(707) 825-5000
NPI assigned
Jun 27, 2014
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 17058 CA Primary

Addresses

Primary practice location

1600 Weeot Way
Arcata, CA 95521-4734

Mailing address

PO Box 306
Arcata, CA 95518-0306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191014002749 CA Practitioner - General Surgery 8123398427 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Indian Health Services, Inc. CurrentSince Sep 20, 2021 Accepting new patients
North Pacific Cardiology Medical CurrentSince Aug 1, 2019 Accepting new patients
United Indian Health Services, Inc. Current Accepting new patients
United Indian Health Services, Inc. CurrentSince Sep 20, 2021 Accepting new patients

Locations

1600 Weeot Way
Arcata, CA 95521
Phone (707) 825-5000

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

Interoperability endpoints

  • Direct secure messaging: cmyers813584@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Potawot Health VillageArcata, CA, CCN 051163 Federally qualified health center Corporate Officer
Operational/Managerial Control
Sep 20, 2021
Sep 20, 2021
United Indian Health Services, Inc.Eureka, CA, CCN 051167 Federally qualified health center Corporate Officer
Operational/Managerial Control
Sep 20, 2021
Sep 20, 2021
United Indian Health Services, Inc.Weitchpec, CA, CCN 051165 Federally qualified health center Corporate Officer
Operational/Managerial Control
Sep 20, 2021
Sep 20, 2021
United Indian Health Services, Inc.Crescent City, CA, CCN 051166 Federally qualified health center Corporate Officer
Operational/Managerial Control
Sep 20, 2021
Sep 20, 2021
United Indian Health Services, Inc.Klamath, CA, CCN 051164 Federally qualified health center Corporate Officer
Operational/Managerial Control
Sep 20, 2021
Sep 20, 2021
Xaa-Wan'-K'WVT ClinicSmith River, CA, CCN 751951 Federally qualified health center Corporate Officer
Operational/Managerial Control
Sep 20, 2021
Sep 20, 2021
United Indian Health Services, Inc.Eureka, CA, CCN A01807 Federally qualified health center Corporate Officer Sep 20, 2021
United Indian Health Services, Inc.Eureka, CA, CCN A01820 Federally qualified health center Corporate Officer Sep 20, 2021

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1336554302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955180306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WEEOT WAY",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214734",
            "telephone_number": "707-825-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "17058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.