Active NPI
Mark A Myers, MD
- Pulmonary Disease Physician
- Bartlesville, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 17750
- Practice address
- 3400 Frank Phillips
Suite 601
Bartlesville, OK 74006 - Phone
- (918) 331-2599
- Fax
- (918) 331-2598
- NPI assigned
- Jun 30, 2005
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 17750 | OK | Primary |
Addresses
Primary practice location
3400 Frank Phillips
Suite 601
Bartlesville, OK 74006
Mailing address
226 SE Debell
BLDG a
Bartlesville, OK 74006
Phone (918) 331-2599
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100096170B | Medicaid | OK | |
| 100096170A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Oklahoma College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1705 E 19TH St
Tulsa, OK 74104-5410
3550 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 331-2294
Hospital & facility affiliations
- Ascension St John Jane Phillips
- Coffeyville Regional Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc. | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Jane Phillips Memorial Medical Center, Inc. | Past | Accepting new patients | |
| Mark a. Myers, M.D. P.C. | Pulmonary Disease | Past | Accepting new patients |
Locations
226 SE Debell Ave
Bldg A
Bartlesville, OK 74006
Phone (918) 333-7200
3400 E Frank Phillips Blvd
Ste 500
Bartlesville, OK 74006
Phone (918) 331-2599
3400 E Frank Phillips Blvd
Ste 601
Bartlesville, OK 74006
Phone (918) 331-2599
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
Interoperability endpoints
- mark.myers@direct.stjohnhealthsystem.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Pulmonary Disease Physician
- Bartlesville, OK
- NPI 1871667824
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
-
- Critical Access Hospital
- Coffeyville, KS
- NPI 1285600379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309305600000",
"number": "1629075007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 SE DEBELL",
"address_2": "BLDG A",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "74006",
"telephone_number": "918-331-2599",
"fax_number": "918-331-2598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 FRANK PHILLIPS",
"address_2": "SUITE 601",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "74006",
"telephone_number": "918-331-2599",
"fax_number": "918-331-2598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2011-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OK",
"license": "17750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100096170B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100096170A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.