Organization Active NPI

Robert Ian Myers, MD, PA

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1366730459
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G9170 Issued in TX
Legal business name
ROBERT IAN MYERS, MD, PA
Practice address
3600 Gaston Ave
Suite 508
Dallas, TX 75246-1805
Phone
(214) 824-4585
Fax
(214) 824-0917
NPI assigned
Jul 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Ms. Lynn Sparrow
Title
Manager
Phone
(214) 823-2373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G9170 TX Primary

Addresses

Primary practice location

3600 Gaston Ave
Suite 508
Dallas, TX 75246-1805

Mailing address

3600 Gaston Ave
Suite 508
Dallas, TX 75246-1805
Phone (214) 824-4585

Other identifiers 1

IdentifierTypeStateIssuer
8CW431OtherTXBCBS

National Provider Directory

National Provider Directory

Locations

3600 Gaston Ave
Ste 508
Dallas, TX 75246
Phone (214) 824-0171

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1366730459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 508",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461805",
            "telephone_number": "214-824-4585",
            "fax_number": "214-824-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 508",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461805",
            "telephone_number": "214-824-4585",
            "fax_number": "214-824-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT IAN MYERS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "SPARROW",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-823-2373",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G9170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CW431",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.