Active NPI
Myers Professional Medical Services
- Surgery Physician
- Russellville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C5125
- Legal business name
- MYERS PROFESSIONAL MEDICAL SERVICES
- Practice address
- 1808 W Main St
Russellville, AR 72801-2724 - Phone
- (479) 967-0799
- Fax
- (479) 967-0798
- NPI assigned
- Apr 20, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Mark Myers, MD
- Title
- President
- Phone
- (479) 967-0799
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C5125 | AR | Primary |
Addresses
Primary practice location
1808 W Main St
Russellville, AR 72801-2724
Mailing address
920 Hilltop Dr
Russellville, AR 72802-8645
Phone (479) 967-0799
National Provider Directory
National Provider DirectoryLocations
605 Dave Ward Dr
Conway, AR 72034
Phone (501) 205-7910
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.
-
- Surgery Physician
- Russellville, AR
- NPI 1194788794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750508545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 HILLTOP DR",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728028645",
"telephone_number": "479-967-0799",
"fax_number": "479-968-0798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012724",
"telephone_number": "479-967-0799",
"fax_number": "479-967-0798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYERS PROFESSIONAL MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "479-967-0799",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "AR",
"license": "C5125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.