Individual provider Active NPI

Percy Chester Myers, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Anna, IL
National Provider Identifier
1790923399
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036.122144 Issued in IL
Practice address
1000 N Main St
Anna, IL 62906-1652
Phone
(618) 833-5161
Fax
(618) 833-4191
NPI assigned
Feb 4, 2009
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036.122144 IL Primary

Addresses

Primary practice location

1000 N Main St
Anna, IL 62906-1652

Mailing address

7324 SW Robins Dr
Topeka, KS 66610-1548
Phone (785) 273-1062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100331000261 IL Practitioner - AnesthesiologyPractitioner - Family PracticePractitioner - Internal Medicine 7719013564 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.122144ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Department of Human Services CurrentSince Jul 1, 2013 Accepting new patients
Illinois Department of Human Services CurrentSince Jul 1, 2013 Accepting new patients
Anesthesia Services Medical Group of Topeka, PA Pain Medicine Past Accepting new patients

Locations

1000 N Main St
Anna, IL 62906
Phone (618) 833-5161

1535 W McCord St
Centralia, IL 62801
Phone (618) 532-1811

1201 S Main St
Jacksonville, IL 62650
Phone (217) 479-2110

100 S Grand Ave E
Springfield, IL 62762

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1790923399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 SW ROBINS DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666101548",
            "telephone_number": "785-273-1062",
            "fax_number": "785-273-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N MAIN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061652",
            "telephone_number": "618-833-5161",
            "fax_number": "618-833-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "PERCY",
        "middle_name": "CHESTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036.122144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, IL

Sources for this page

Verify at the official NPI Registry.