Active NPI
Toby Myers, PARAMEDIC
- Paramedic
- Galesburg, IL
National Provider Identifier
1619245339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- P000547547
- Practice address
- 58 Illinois Route 164
Galesburg, IL 61401-8506 - Phone
- (309) 342-3134
- Fax
- (309) 342-0744
- NPI assigned
- Dec 8, 2011
- 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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | P000547547 | IL | Primary |
Addresses
Primary practice location
58 Illinois Route 164
Galesburg, IL 61401-8506
Mailing address
58 Illinois Route 164
Galesburg, IL 61401
Phone (309) 342-3134
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P000547547 | IL | MD | Paramedic |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jet Air Inc. | 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.
-
- Air Ambulance
- Galesburg, IL
- NPI 1356588677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1619245339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 ILLINOIS ROUTE 164",
"city": "GALESBURG",
"state": "IL",
"postal_code": "61401",
"telephone_number": "309-342-3134",
"fax_number": "309-342-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 ILLINOIS ROUTE 164",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614018506",
"telephone_number": "309-342-3134",
"fax_number": "309-342-0744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "TOBY",
"name_prefix": "Mr.",
"credential": "PARAMEDIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "IL",
"license": "P000547547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.