Active NPI
Gary Harris Myers, MD
- Neurology Physician
- Saint Louis, MO
National Provider Identifier
1477514628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- R5513
- Practice address
- 10004 Kennerly Rd
Suite 391B
Saint Louis, MO 63128-2141 - Phone
- (314) 843-8222
- Fax
- (314) 843-1662
- NPI assigned
- Mar 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | R5513 | MT | Primary |
Addresses
Primary practice location
10004 Kennerly Rd
Suite 391B
Saint Louis, MO 63128-2141
Mailing address
10004 Kennerly Road
Suite 391B
St Louis, MO 63128
Phone (314) 843-8222
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 |
|---|---|---|---|
| R5513 | MT | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St. Louis | Past | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
-
- Emergency Medical Services (Emergency Medicine) Physician
- Lake St Louis, MO
- NPI 1538113097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1477514628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10004 KENNERLY ROAD",
"address_2": "SUITE 391B",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63128",
"telephone_number": "314-843-8222",
"fax_number": "314-843-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10004 KENNERLY RD",
"address_2": "SUITE 391B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282141",
"telephone_number": "314-843-8222",
"fax_number": "314-843-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "GARY",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MT",
"license": "R5513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.