Individual provider Active NPI

Lynn A Myers, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Du Bois, PA
National Provider Identifier
1801908264
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD417134 Issued in PA
Practice address
89 Beaver Dr
Du Bois, PA 15801-2425
Phone
(814) 371-4524
Fax
(814) 371-0331
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD417134 PA Primary

Addresses

Primary practice location

89 Beaver Dr
Du Bois, PA 15801-2425

Mailing address

89 Beaver Dr
Du Bois, PA 15801-2425
Phone (814) 371-4524

Other identifiers 2

IdentifierTypeStateIssuer
0018709250001MedicaidPA
0018709250002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101214001115 PA Practitioner - Physical Medicine and Rehabilitation 3173710274 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD417134PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Jul 1, 2019 Accepting new patients
Regional Health Services Inc CurrentSince Jun 1, 2016 Accepting new patients
Upmc Community Medcine Inc CurrentSince Jul 1, 2019 Accepting new patients
Chong Min Park, M.D.,P.C. Past Accepting new patients
Dubois Regional Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

89 Beaver Dr
Dubois, PA 15801
Phone (814) 371-4524

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

83 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-0225

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1801908264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012425",
            "telephone_number": "814-371-4524",
            "fax_number": "814-371-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012425",
            "telephone_number": "814-371-4524",
            "fax_number": "814-371-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "LYNN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD417134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018709250001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018709250002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.