Individual provider Active NPI

Stephen W Myrick, MD

  • Surgery Physician
  • Lawrence, KS
National Provider Identifier
1861499287
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0417893 Issued in KS
Practice address
1112 W 6TH St Ste 109
Lawrence, KS 66044-2249
Phone
(785) 840-9292
Fax
(785) 840-9272
NPI assigned
Jun 30, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0417893 KS Primary

Addresses

Primary practice location

1112 W 6TH St Ste 109
Lawrence, KS 66044-2249

Mailing address

1112 W 6TH St Ste 109
Lawrence, KS 66044-2249
Phone (785) 840-9292

Other identifiers 1

IdentifierTypeStateIssuer
100009280OMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephen.myrick@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC Surgery CurrentSince Jan 1, 2015 Accepting new patients
Lawrence Physicians LLC Surgery CurrentSince Jan 1, 2015 Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
Scott a Robinson Past Accepting new patients

Locations

1112 W 6th St
Ste 109
Lawrence, KS 66044
Phone (785) 840-9292

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

330 Arkansas St
Ste 205
Lawrence, KS 66044
Phone (785) 505-5045

330 Arkansas St
Ste 215
Lawrence, KS 66044
Phone (785) 505-2250

Organizations & group practices 4

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861499287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST STE 109",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442249",
            "telephone_number": "785-840-9292",
            "fax_number": "785-840-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 6TH ST STE 109",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442249",
            "telephone_number": "785-840-9292",
            "fax_number": "785-840-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "STEPHEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0417893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100009280O",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.myrick@direct.lmh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1112 W 6th St Ste 109",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660442249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.