Ian Myers, MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C1-0005890 Issued in DE

Legal business name

IAN MYERS, MD LLC

Practice address

2600 Glasgow Ave Ste 218
Newark, DE 19702-5704

Phone

(302) 832-7600

Fax

(302) 832-6700

NPI assigned

Jul 9, 2006

Organization subpart

No

Name

Ian MyersNPI 1194783019

Title

Owner

Phone

(302) 832-7600

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ian Myers, MD

  • Family Medicine Physician
  • Newark, DE
  • NPI 1194783019

  DE

  Medicare reassignment Authorized official

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in DE

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2022.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1578596649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 218",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025704",
            "telephone_number": "302-832-7600",
            "fax_number": "302-832-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 218",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025704",
            "telephone_number": "302-832-7600",
            "fax_number": "302-832-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN MYERS, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-832-7600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0005890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00070381",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mary Virginia Iacocca, MD
• Emily P. Iannucci, PA-C
• Olivia Marie Iaquinto, MSW
• Aquiles Igleisias
• Maelen Ignacio, PHARM.D.
• Ijn Health Systems, LLC

• All providers in Newark, DE
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.