Active NPI
Steven R. Myrick, M.D.
- Surgery Physician
- Bryn Mawr, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD028778E
- Practice address
- 830 Old Lancaster Rd.
Suite 306 Mob North
Bryn Mawr, PA 19010 - Phone
- (484) 592-3000
- Fax
- (484) 592-3009
- NPI assigned
- Jun 6, 2006
- Last updated
- Oct 21, 2015
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD028778E | PA | Primary |
Addresses
Primary practice location
830 Old Lancaster Rd.
Suite 306 Mob North
Bryn Mawr, PA 19010
Mailing address
830 Old Lancaster Rd.
Suite 306 Mob North
Bryn Mawr, PA 19010
Phone (484) 592-3000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD028778E | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Surgery | Current | Accepting new patients |
| Chestnut Hill Clinic Company, LLC | Surgery | Past | Accepting new patients |
Locations
101 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 526-2200
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
830 Old Lancaster Rd
Ste 306
Bryn Mawr, PA 19010
Phone (484) 592-3000
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
255 W Lancaster Ave
Ste 332
Paoli, PA 19301
Phone (610) 641-9011
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Behavioral Health Chestnut Hill Ave Tower Health Medical Group
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1508936071
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1841239662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 OLD LANCASTER RD.",
"address_2": "SUITE 306 MOB NORTH",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "19010",
"telephone_number": "484-592-3000",
"fax_number": "484-592-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 OLD LANCASTER RD.",
"address_2": "SUITE 306 MOB NORTH",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "19010",
"telephone_number": "484-592-3000",
"fax_number": "484-592-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYRICK",
"first_name": "STEVEN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD028778E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.