Active NPI
Michael A Myers, MD
- Family Medicine Physician
- Lincoln, NE
National Provider Identifier
1497719660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19179
- Practice address
- 6900 Van Dorn St Ste 24
Lincoln, NE 68506-2882 - Phone
- (402) 483-3400
- Fax
- (402) 483-3405
- NPI assigned
- Apr 14, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19179 | NE | Primary |
Addresses
Primary practice location
6900 Van Dorn St Ste 24
Lincoln, NE 68506-2882
Mailing address
PO Box 4046
Springfield, MO 65808-4046
Phone (417) 272-8911
Other practice location 1
18452 Business 13
Branson West, MO 65737-9609
Phone (417) 272-8911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47055301100 | Medicaid | NE | |
| 080048104 | Other | RAILRAOD MEDICARE |
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 |
|---|---|---|---|
| 19179 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Medical Education Partnership | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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
- Lincoln, NE
- NPI 1891703708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1497719660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4046",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658084046",
"telephone_number": "417-272-8911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 VAN DORN ST STE 24",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062882",
"telephone_number": "402-483-3400",
"fax_number": "402-483-3405"
}
],
"practiceLocations": [
{
"address_1": "18452 Business 13",
"address_purpose": "LOCATION",
"city": "Branson West",
"state": "MO",
"postal_code": "657379609",
"country_code": "US",
"telephone_number": "417-272-8911",
"fax_number": "417-272-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "19179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47055301100",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "080048104",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.