Matthew William Myers, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN515922L Issued in PA

Practice address

414 Main St
Reynoldsville, PA 15851-1284

Phone

(814) 246-9036

Fax

(814) 653-8953

NPI assigned

Jul 16, 2010

Last updated

Jul 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1730492976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 N 4TH ST",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158511280",
            "telephone_number": "814-246-9036",
            "fax_number": "814-653-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAIN ST",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158511284",
            "telephone_number": "814-246-9036",
            "fax_number": "814-653-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN515922L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalva V Kakabadze, MD
• Harry Eugene Kunselman, DMD
• Mary Elizabeth Logan, CRNP
• Barry Alexander Marks, RPH
• Randy William McCall, D.C.
• Andrea Poy, ND
• Reynoldsville Area Ambulance Service Inc
• Reynoldsville Chiropractic Life Center, LLC
• Janet Satterlee
• Janice A Scott, COTA/L

• Registered Nurse in Reynoldsville, PA
• Providers in Reynoldsville, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.