Individual provider Active NPI

Victoria S Myers, M.D.

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1689680274
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
230186 Issued in MA
Practice address
3300 Henry Ave Ste 101
Philadelphia, PA 19129-1146
Phone
(215) 205-8884
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD426519 PA
Obstetrics & Gynecology Physician 207V00000X 230186 MA Primary

Addresses

Primary practice location

3300 Henry Ave Ste 101
Philadelphia, PA 19129-1146

Mailing address

300 W Gravers LN
Philadelphia, PA 19118-3715
Phone (215) 205-8884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100108000086 PA Practitioner - Obstetrics/Gynecology 3274538335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philadelphia Womens Health and Wellness LLCGroup PAC ID 0648694414, 3 clinicians

Practice addresses (Care Compare)

3300 Henry Ave
Suite 101
Philadelphia, PA 19129-1146
Phone (267) 335-3152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
230186MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia Womens Health & Wellness LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

3300 Henry Ave
Ste 101
Philadelphia, PA 19129
Phone (215) 205-8884

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1689680274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W GRAVERS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183715",
            "telephone_number": "215-205-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291146",
            "telephone_number": "215-205-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "VICTORIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD426519",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "230186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.