NPIMap

Organization Active NPI

Myrie & Associates

  • Surgery Physician
  • Windsor Heights, IA
National Provider Identifier
1750474318
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34603 Issued in IA
Legal business name
MYRIE & ASSOCIATES
Practice address
974 73Rd St
Suite 25
Windsor Heights, IA 50324-1024
Phone
(515) 225-3355
Fax
(515) 222-1828
NPI assigned
Oct 2, 2006
Last updated
Jun 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Dr. Denville A Myrie, MDNPI 1588610539
Title
President
Phone
(515) 490-8950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 34603 IA Primary

Addresses

Primary practice location

974 73Rd St
Suite 25
Windsor Heights, IA 50324-1024

Mailing address

PO Box 8057
Des Moines, IA 50301-8057
Phone (515) 225-3355

Other identifiers 2

IdentifierTypeStateIssuer
2261560MedicaidIA
39903OtherIAWELLMARK BLUE CROSS BLUE SHIELD

Other names 1

  • Denville A Myrie MD PC Other name

National Provider Directory

National Provider Directory

Locations

230 S 68th St
Ste 1209
West Des Moines, IA 50266
Phone (515) 223-4408

4949 Pleasant St
Ste 200
West Des Moines, IA 50266
Phone (515) 225-3355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1750474318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8057",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503018057",
            "telephone_number": "515-225-3355",
            "fax_number": "515-222-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 73RD ST",
            "address_2": "SUITE 25",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241024",
            "telephone_number": "515-225-3355",
            "fax_number": "515-222-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRIE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "MYRIE",
        "authorized_official_first_name": "DENVILLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-490-8950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IA",
            "license": "34603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2261560",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE SHIELD",
            "identifier": "39903",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denville A Myrie MD PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Windsor Heights, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.