Individual provider Active NPI

Douglas Paul Myers, M.D.

  • Specialist
  • Denison, TX
National Provider Identifier
1457302127
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J2701 Issued in TX
Practice address
102 Memorial Dr
Suite 201
Denison, TX 75020-2025
Phone
(903) 463-5057
Fax
(903) 463-7661
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J2701 TX Primary
Nephrology Physician 207RN0300X J2701 TX
Internal Medicine Physician 207R00000X J2701 TX

Addresses

Primary practice location

102 Memorial Dr
Suite 201
Denison, TX 75020-2025

Mailing address

102 Memorial Dr
Suite 201
Denison, TX 75020-2025
Phone (903) 463-5057

Other identifiers 2

IdentifierTypeStateIssuer
118143004MedicaidTX
8G0410OtherTXBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040716000389 OK Practitioner - NephrologyPractitioner - Internal Medicine 0547249286 Reassigns benefits to 1 organization
I20070124000292 TX Practitioner - NephrologyPractitioner - Internal Medicine 0547249286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas - Burnet PLLCGroup PAC ID 1850831637, 76 clinicians

Practice addresses (Care Compare)

5016 S US Hwy 75
Texoma Medical Center
Denison, TX 75020-4584
Phone (903) 416-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2701TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Associates LLP Internal Medicine CurrentSince Aug 1, 2006 Accepting new patients
Texoma Kidney Care, P.a. Specialist Current Accepting new patients
Hospitalist Medicine Physicians of Texas - Burnet PLLC Internal Medicine CurrentSince Jul 24, 2024 Accepting new patients
Renal Treatment Centers-Southeast, LP PastSince Jun 1, 2019 Accepting new patients
Uhs of Texoma, Inc Past Accepting new patients

Locations

411 Westside Dr
Durant, OK 74701
Phone (580) 920-0808

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

102 Memorial Dr
#201
Denison, TX 75020
Phone (903) 463-5057

102 Memorial Dr
Ste 201
Denison, TX 75020
Phone (903) 463-5057

600 E Taylor St
Ste 103
Sherman, TX 75090
Phone (903) 257-3929

1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: dmyers355524@ahs.direct-ci.com

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 and National Provider Directory roles.

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1457302127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MEMORIAL DR",
            "address_2": "SUITE 201",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202025",
            "telephone_number": "903-463-5057",
            "fax_number": "903-463-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEMORIAL DR",
            "address_2": "SUITE 201",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202025",
            "telephone_number": "903-463-5057",
            "fax_number": "903-463-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "DOUGLAS",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J2701",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J2701",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J2701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118143004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8G0410",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.