Active NPI
Myron Levine, MD
- Obstetrics & Gynecology Physician
- Bloomsburg, PA
National Provider Identifier
1437235157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME131170
- Practice address
- 425 E 1St St
Suite101
Bloomsburg, PA 17815-1480 - Phone
- (570) 387-2474
- NPI assigned
- Oct 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD009712E | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | ME131170 | FL | Primary |
Addresses
Primary practice location
425 E 1St St
Suite101
Bloomsburg, PA 17815-1480
Mailing address
1580 Santa Barbara Blvd Ste 101
The Villages, FL 32159-6827
Phone (352) 259-2159
Other practice location 1
1015 SE 17th St Ste 200
Ocala, FL 34471
Phone (352) 259-2159
Other practice location 2
1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 259-2159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME131170 | FL | MD | Obstetrics & Gynecology Physician |
| MD009712E | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Regional Medical Center | Past | Accepting new patients | |
| Bloomsburg Physicians Services | Obstetrics & Gynecology | Past | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Bloomsburg, PA
- NPI 1457543290
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Du Bois, PA
- NPI 1144249657
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1437235157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 SANTA BARBARA BLVD STE 101",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321596827",
"telephone_number": "352-259-2159",
"fax_number": "352-259-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E 1ST ST",
"address_2": "SUITE101",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178151480",
"telephone_number": "570-387-2474"
}
],
"practiceLocations": [
{
"address_1": "1015 SE 17th St Ste 200",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "34471",
"country_code": "US",
"telephone_number": "352-259-2159",
"fax_number": "352-259-5731",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1580 Santa Barbara Blvd",
"address_purpose": "LOCATION",
"city": "The Villages",
"state": "FL",
"postal_code": "32159",
"country_code": "US",
"telephone_number": "352-259-2159",
"fax_number": "352-259-5731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVINE",
"first_name": "MYRON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD009712E",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME131170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.