Herbert E Myers, MD
Individual provider Active NPI Geriatric Psychiatry Physician · Thomas, WV
NPI 1629009204 · NPPES record last updated Jan 8, 2016
Key facts
- NPI
- 1629009204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Psychiatry Physician 2084P0805X
- License
- 11695 (WV)
- Practice address
- 39 Cortland Acres LN
Thomas, WV 26292-8018 - Phone
- (304) 463-4181
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11695 | WV | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philhaven | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 11695 | WV | Yes |
Addresses
Primary practice location
39 Cortland Acres LN
Thomas, WV 26292-8018
Mailing address
PO Box 171
Harman, WV 26270-0171
Phone (717) 475-0969
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017805880001 | Medicaid | PA |
Other providers in Thomas, WV
- Kathryn A Kahler
- Jody Logar
- Anne Alisha McCune
- Carol Proops Milam
- Shelby Moore
- Preston Taylor Community Health Centers, Incorporated
- Preston Taylor Community Health Centers, Incorporated
- Preston-Taylor Community Health Centers Incorporated
- Edwin Rader
- Katherine Russell
All providers in Thomas, WV · Geriatric Psychiatry Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.