Active NPI
Robert Wayne Myers, MD
- Diagnostic Radiology Physician
- Salem, OR
National Provider Identifier
1821155797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD21018
- Practice address
- 698 12TH St SE Ste 145
Salem, OR 97301 - Phone
- (503) 588-2674
- Fax
- (503) 391-1200
- NPI assigned
- Jan 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD21018 | OR | Primary |
Addresses
Primary practice location
698 12TH St SE Ste 145
Salem, OR 97301
Mailing address
698 12TH St SE Ste 145
Salem, OR 97301-4076
Phone (503) 588-2674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150972 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larsen Sanchez Psychology, LLC | Past | Accepting new patients | |
| Mission Medical Imaging | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Portland, OR
- NPI 1588041388
-
- Diagnostic Radiology Physician
- Salem, OR
- NPI 1306893979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1821155797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "698 12TH ST SE STE 145",
"city": "SALEM",
"state": "OR",
"postal_code": "973014076",
"telephone_number": "503-588-2674",
"fax_number": "503-586-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 12TH ST SE STE 145",
"city": "SALEM",
"state": "OR",
"postal_code": "97301",
"telephone_number": "503-588-2674",
"fax_number": "503-391-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "ROBERT",
"middle_name": "WAYNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD21018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150972",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.