Active NPI
Scott E Myers, MD
- Gastroenterology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD029968E
- Practice address
- 219 N Broad St
5TH FL
Philadelphia, PA 19107-1519 - Phone
- (215) 762-6220
- Fax
- (215) 762-5034
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD029968E | PA | Primary |
Addresses
Primary practice location
219 N Broad St
5TH FL
Philadelphia, PA 19107-1519
Mailing address
1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1321
Phone (215) 255-7822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001150568 | Medicaid | PA | |
| 5106401 | Medicaid | NJ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06161500 | NJ | MD | Emergency Medicine Physician |
| MD029968E | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chestnut Hill Clinic Company, LLC | Current | Accepting new patients | |
| Chestnut Hill Clinic Company, LLC | Gastroenterology | Current | Accepting new patients |
| Drexel University | Current | Accepting new patients | |
| Drexel University | Gastroenterology | Current | Accepting new patients |
| Drexel University | Current | Accepting new patients | |
| Philadelphia Gastroenterology Group, P.C. | Gastroenterology | Past | Accepting new patients |
Locations
219 N Broad St
Fl 5
Philadelphia, PA 19107
Phone (215) 762-6070
1601 Cherry St
Ste 11511
Philadelphia, PA 19102
1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530
10 Shurs Ln
Philadelphia, PA 19127
Phone (215) 482-0899
230 N Broad St
Fl 4
Philadelphia, PA 19102
Phone (215) 762-1738
219 N Broad St
Fl 9
Philadelphia, PA 19107
Phone (215) 762-2688
1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660
525 Jamestown St
Ste 101
Philadelphia, PA 19128
Phone (215) 463-1483
8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Behavioral Health Chestnut Hill Ave Tower Health Medical Group
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1508936071
Gastroenterology
-
dba Sports Medicine Chestnut Hill Manayunk THMG
- Sports Medicine (Family Medicine) Physician
- Philadelphia, PA
- NPI 1811611692
-
dba Drexel Center for Digestive Health
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1922103381
-
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1801826177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1407839145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CHERRY ST",
"address_2": "SUITE 11511",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021321",
"telephone_number": "215-255-7822",
"fax_number": "215-255-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 N BROAD ST",
"address_2": "5TH FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071519",
"telephone_number": "215-762-6220",
"fax_number": "215-762-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "SCOTT",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD029968E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001150568",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5106401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.