Individual provider Active NPI

Jason P Myers, D.O.

  • Family Medicine Physician
  • Zeeland, MI
National Provider Identifier
1396836862
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
JM012685 Issued in MI
Practice address
8300 Westpark Way
Suite 210
Zeeland, MI 49464-7901
Phone
(616) 772-7314
NPI assigned
Sep 27, 2006
Last updated
Jul 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X JM012685 MI Primary

Addresses

Primary practice location

8300 Westpark Way
Suite 210
Zeeland, MI 49464-7901

Mailing address

8300 Westpark Way
Suite 210
Zeeland, MI 49464-7901
Phone (616) 772-7314

Other identifiers 1

IdentifierTypeStateIssuer
4438616MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040424000243 MI Practitioner - Family Practice 9032105903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians

Practice addresses (Care Compare)

577 Michigan Ave
Holland, MI 49423-4911

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JM012685MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Community Hospital CurrentSince Mar 13, 2013 Accepting new patients
Holland Community Hospital Current Accepting new patients
Holland Community Hospital Family Medicine CurrentSince Mar 13, 2013 Accepting new patients
Lakeshore Health Partners - Family Medicine Family Medicine Past Accepting new patients
Bay Point Family Care, PLLC Family Medicine Past Accepting new patients
Holland Community Hospital Family Medicine PastSince Oct 1, 2021 Accepting new patients
Holland Community Hospital Past Accepting new patients
Southwest Emergency Physicians, PLLC Past Accepting new patients

Locations

415 Wiley Rd
Ste 102
Douglas, MI 49406
Phone (269) 857-3208

175 S Waverly Rd
Holland, MI 49423
Phone (616) 355-3896

175 S Waverly Rd
Ste A
Holland, MI 49423
Phone (616) 394-3344

3232 N Wellness Dr
Holland, MI 49424
Phone (616) 494-4250

3235 N Wellness Dr
Holland, MI 49424
Phone (616) 399-9522

3235 N Wellness Dr
Ste 120B
Holland, MI 49424
Phone (616) 399-1369

577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190

602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350

904 Washington Ave
Ste 210
Holland, MI 49423
Phone (616) 392-8035

8300 Westpark Way
Zeeland, MI 49464
Phone (616) 748-5760

8300 Westpark Way
Ste 210
Zeeland, MI 49464
Phone (616) 772-7314

Interoperability endpoints

  • Direct secure messaging: jason.myers@holland.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1396836862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 WESTPARK WAY",
            "address_2": "SUITE 210",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494647901",
            "telephone_number": "616-772-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 WESTPARK WAY",
            "address_2": "SUITE 210",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494647901",
            "telephone_number": "616-772-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JASON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JM012685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4438616",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

Verify at the official NPI Registry.