Active NPI
Mark A Myers, M.D.
- Family Medicine Physician
- Ridgeley, WV
National Provider Identifier
1710986658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13567
- Practice address
- RR 3 Box 142
Hunt Club Plaza
Ridgeley, WV 26753-9500 - Phone
- (304) 726-4501
- Fax
- (304) 726-4051
- NPI assigned
- Jul 20, 2005
- Last updated
- Apr 23, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13567 | WV | Primary |
| Family Medicine Physician | 207Q00000X | D32235 | MD |
Addresses
Primary practice location
RR 3 Box 142
Hunt Club Plaza
Ridgeley, WV 26753-9500
Mailing address
RR 3 Box 142
Hunt Club Plaza
Ridgeley, WV 26753-9500
Phone (304) 726-4501
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E458 0007 | Other | DC | BLUE CHOICE BC BS |
| 0056925000 | Medicaid | WV | |
| 41843503 | Other | MD | CAREFIRST BC BS |
| 000513375 | Other | WV | MT. STATE BC BS |
| 080188048 | Other | TRAVELERS MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D32235 | MD | MD | Family Medicine Physician |
| 13567 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Western Maryland Health Services, LLC | Past | Accepting new patients | |
| Cumberland Emergency Medical Group PA | Past | Accepting new patients | |
| Upmc Western Maryland Corporation | Past | Accepting new patients | |
| Cumberland Emergency Medical Group, PA | Family Medicine | Past | Accepting new patients |
| Memorial Hospital and Medical Center of Cumberland, Inc. | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Cumberland, MD
- NPI 1275639932
-
- Emergency Medicine Physician
- Cumberland, MD
- NPI 1417132481
Family Medicine
-
dba Memorial Hosp Med Ctr Hosp
- General Acute Care Hospital
- Cumberland, MD
- NPI 1669437216
-
dba UPMC Western Maryland
- Psychiatry Physician
- Cumberland, MD
- NPI 1285779884
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1134844764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1710986658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 3 BOX 142",
"address_2": "HUNT CLUB PLAZA",
"city": "RIDGELEY",
"state": "WV",
"postal_code": "267539500",
"telephone_number": "304-726-4501",
"fax_number": "304-726-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 3 BOX 142",
"address_2": "HUNT CLUB PLAZA",
"city": "RIDGELEY",
"state": "WV",
"postal_code": "267539500",
"telephone_number": "304-726-4501",
"fax_number": "304-726-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "13567",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D32235",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE BC BS",
"identifier": "E458 0007",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0056925000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC BS",
"identifier": "41843503",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT. STATE BC BS",
"identifier": "000513375",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "080188048",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.