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

Last updated

Jan 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ian MyersNPI 1194783019

Title

Owner

Phone

(302) 832-7600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ian Myers, MD

  • Family Medicine Physician
  • Newark, DE
  • NPI 1194783019
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

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• Ijn Health Systems, LLC

• Family Medicine Physician in Newark, DE
• Providers in Newark, DE by specialty
• 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.