Active NPI
Myers Ambucare Surgery, LTD.
- Surgery Physician
- Harrisburg, PA
National Provider Identifier
1861668899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 04583-L
- Legal business name
- MYERS AMBUCARE SURGERY, LTD.
- Practice address
- 6211 Cider Press Rd
Harrisburg, PA 17111-4722 - Phone
- (717) 215-7912
- NPI assigned
- Apr 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Collin Lewis Myers, M.D.
- Title
- Physician
- Phone
- (717) 215-7912
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 04583-L | PA | Primary |
Addresses
Primary practice location
6211 Cider Press Rd
Harrisburg, PA 17111-4722
Mailing address
6211 Cider Press Rd
Harrisburg, PA 17111-4722
Phone (717) 215-7912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022349410001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
6375 Mercury Dr
Ste 200
Mechanicsburg, PA 17050
Phone (717) 620-2500
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275955200000",
"number": "1861668899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6211 CIDER PRESS RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171114722",
"telephone_number": "717-215-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6211 CIDER PRESS RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171114722",
"telephone_number": "717-215-7912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYERS AMBUCARE SURGERY, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-30",
"last_updated": "2010-06-08",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "COLLIN",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "717-215-7912",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "PA",
"license": "04583-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022349410001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.