Individual provider Active NPI

Collin Lewis Myers, MD

  • Surgery Physician
  • Waynesboro, PA
National Provider Identifier
1356312037
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD045853L Issued in PA
Practice address
601 E Main St
Waynesboro, PA 17268-2332
Phone
(717) 217-6800
Fax
(717) 217-6900
NPI assigned
Jan 30, 2006
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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 MD045853L PA Primary

Addresses

Primary practice location

601 E Main St
Waynesboro, PA 17268-2332

Mailing address

7057 Augusta National
Fayetteville, PA 17222-9419
Phone (717) 215-7912

Other practice location 1

97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6800

Other practice location 2

24 Antrim Commons Dr Fl 2
Greencastle, PA 17225-1623
Phone (717) 217-6800

Other practice location 3

120 N 7th St Ste 200
Chambersburg, PA 17201-1795
Phone (717) 217-6800

Other identifiers 9

IdentifierTypeStateIssuer
227275OtherPAJOHNS HOPKINS
102234941MedicaidPA
804550OtherPAHIGHMARK BLUE SHIELD
001549470MedicaidPA
945951OtherMDCAREFIRST MD BCBS
5531100OtherPAAETNA NON HMO
50083030OtherPACAPITAL BLUE CROSS-WMG
259370OtherPAUNISON-WMG
8998452OtherPAAETNA HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080819000219 PA Practitioner - General SurgeryPractitioner - Hospitalist 1951476472 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045853LPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Shore Family Practice PC CurrentSince Jul 1, 2008 Accepting new patients
American Current Care P.a. CurrentSince Jan 2, 2024 Accepting new patients
American Current Care PA CurrentSince Jan 2, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6108 Carlisle Pike
Mechanicsburg, PA 17050
Phone (717) 591-9118

6375 Mercury Dr
Ste 200
Mechanicsburg, PA 17050
Phone (717) 620-2500

2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755

15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 5

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1356312037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7057 AUGUSTA NATIONAL",
            "city": "FAYETTEVILLE",
            "state": "PA",
            "postal_code": "172229419",
            "telephone_number": "717-215-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682332",
            "telephone_number": "717-217-6800",
            "fax_number": "717-217-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Progress Blvd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579053",
            "country_code": "US",
            "telephone_number": "717-217-6800",
            "fax_number": "717-217-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-217-6800",
            "fax_number": "717-217-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 N 7th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011795",
            "country_code": "US",
            "telephone_number": "717-217-6800",
            "fax_number": "717-217-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "COLLIN",
        "middle_name": "LEWIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD045853L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS",
            "identifier": "227275",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102234941",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "804550",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001549470",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS",
            "identifier": "945951",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "5531100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS-WMG",
            "identifier": "50083030",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG",
            "identifier": "259370",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "8998452",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, PA

Sources for this page

Verify at the official NPI Registry.