Active NPI
Gary Dean Myers
- Family Medicine Physician
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13260
- Practice address
- 3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308 - Phone
- (877) 866-7123
- NPI assigned
- Aug 26, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 13260 | OK | |
| Family Medicine Physician | 207Q00000X | 13260 | OK | Primary |
Addresses
Primary practice location
3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308
Mailing address
1401 W Locust St
Suite 102
Stilwell, OK 74960-3275
Phone (918) 696-4065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13260 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary'S Physician Services LLC | General Practice | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Oklahoma | Current | Accepting new patients | |
| Tulsa Emergency Medical Center Inc | Current | Accepting new patients | |
| Medical Resource Management, LLC | Family Medicine | Current | Accepting new patients |
| Pawnee IHS Pharmacy | Past | Accepting new patients |
Locations
101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345
2334 SE Washington Blvd
Ste B
Bartlesville, OK 74006
Phone (918) 331-3187
16205 N Pennsylvania Ave
Edmond, OK 73013
Phone (405) 512-6950
3428 NW Cache Rd
Lawton, OK 73505
Phone (580) 595-7207
10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500
2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1710371448
-
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
Family Medicine
-
- General Practice Physician
- Russellville, AR
- NPI 1124084991
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1063479087
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Pawnee, OK
- NPI 1124178017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1457584344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W LOCUST ST",
"address_2": "SUITE 102",
"city": "STILWELL",
"state": "OK",
"postal_code": "749603275",
"telephone_number": "918-696-4065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SW 160TH AVE",
"address_2": "SUITE 250",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276308",
"telephone_number": "877-866-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "GARY",
"middle_name": "DEAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-26",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OK",
"license": "13260",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "13260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.