Active NPI
Stephen R. Myron, M.D.
- Emergency Medicine Physician
- Portland, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0102951A
- Practice address
- 430 W Votaw St
Portland, IN 47371-1302 - Phone
- (260) 726-6515
- Fax
- (260) 726-2814
- NPI assigned
- Aug 23, 2005
- 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 | 01029521A | IN | |
| Emergency Medicine Physician | 207P00000X | 0102951A | IN | Primary |
Addresses
Primary practice location
430 W Votaw St
Portland, IN 47371-1302
Mailing address
250 N Shadeland Ave Ste 200
Indianapolis, IN 46219-4959
Phone (317) 962-3834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100348530 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health Jay, Inc.
- Ascension St Vincent Mercy
- Ascension St Vincent Kokomo
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102951A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Indiana University Health Ball Memorial Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| Preferred Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Bluffton Health System LLC | Family Medicine | Past | Accepting new patients |
| Jean L. Roberts, M.D., Family Medicine & Obstetric Care, LLC | Family Medicine | Past | Accepting new patients |
| Preferred Medical, PC | Past | Accepting new patients | |
| Rush Memorial Hospital | Emergency Medicine | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients | |
| Preferred Physicians PC | Family Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
5208 Reliable Pkwy
Chicago, IL 60686
3832 Solutions Ctr
Chicago, IL 60677
303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800
1331 S A St
Elwood, IN 46036
Phone (765) 552-4000
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
500 W Votaw St
Ste A
Portland, IN 47371
Phone (260) 726-2313
1758 W 100 S
Portland, IN 47371
Phone (260) 726-1814
500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515
430 W Votaw St
Portland, IN 47371
Phone (260) 726-7616
1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020
1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
473 SE Greenville Ave
Winchester, IN 47394
Phone (765) 584-0004
Interoperability endpoints
- smyron@direct.iuhealth.org
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Emergency Medicine
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Emergency Medicine Physician
- Portland, IN
- NPI 1457302077
-
- Hospitalist Physician
- Portland, IN
- NPI 1538210554
-
- Family Medicine Physician
- Portland, IN
- NPI 1821150798
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1548912553
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Family Medicine Physician
- Muncie, IN
- NPI 1154683472
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Portland, IN
- NPI 1801315692
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
-
- Critical Access Hospital
- Elwood, IN
- NPI 1477508596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1801889142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "317-962-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 W VOTAW ST",
"city": "PORTLAND",
"state": "IN",
"postal_code": "473711302",
"telephone_number": "260-726-6515",
"fax_number": "260-726-2814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYRON",
"first_name": "STEPHEN",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01029521A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "0102951A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100348530",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.