Active NPI
John L Myers, MD
- Family Medicine Physician
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01065083A
- Practice address
- 100 St Marys Epworth Xing # B100
Newburgh, IN 47630-9497 - Phone
- (812) 469-8300
- NPI assigned
- May 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | KY31780 | KY | |
| Family Medicine Physician | 207Q00000X | 01065083A | IN | Primary |
Addresses
Primary practice location
100 St Marys Epworth Xing # B100
Newburgh, IN 47630-9497
Mailing address
100 St Marys Epworth Xing # B100
Newburgh, IN 47630-9497
Other practice location 1
3277 Liberty Blvd Ste A
Boonville, IN 47601-9659
Phone (812) 897-8500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.myers.1@7598.direct.athenahealth.com | St Mary's Medical Group, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080722000466 | IN | Practitioner - Family Practice | 0547243958 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Southern Illinois University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S Rosenberger Ave
Evansville, IN 47712-6504
Phone (812) 433-2000
100 St Marys Epworth Xing
Newburgh, IN 47630-9497
Phone (812) 469-8170
801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236
Hospital & facility affiliations
- Ascension St Vincent Evansville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY31780 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary'S Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| St Mary'S Medical Group, LLC | Current | Accepting new patients | |
| Kentucky Emergency Medicine Physicians PLLC | Past | Accepting new patients |
Locations
3277 Liberty Blvd
#A
Boonville, IN 47601
Phone (812) 485-6940
801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236
100 S Rosenberger Ave
Ste A200
Evansville, IN 47712
Phone (812) 401-0500
100 S Rosenberger Ave
Ste A100
Evansville, IN 47712
Phone (812) 433-2000
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
100 St Marys Epworth Xing
Newburgh, IN 47630
Phone (812) 485-4437
100 St Marys Epworth Xing
Ste B100
Newburgh, IN 47630
Phone (812) 469-8300
100 St Marys Epworth Xing
#B100
Newburgh, IN 47630
Phone (812) 469-8300
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Evansville, IN
- NPI 1164852539
Family Medicine, IN
-
- Nephrology Physician
- Evansville, IN
- NPI 1619307873
-
- Emergency Medicine Physician
- Henderson, KY
- NPI 1477548048
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1891745733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ST MARYS EPWORTH XING # B100",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476309497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ST MARYS EPWORTH XING # B100",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476309497",
"telephone_number": "812-469-8300"
}
],
"practiceLocations": [
{
"address_1": "3277 Liberty Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Boonville",
"state": "IN",
"postal_code": "476019659",
"country_code": "US",
"telephone_number": "812-897-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "JOHN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "KY31780",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01065083A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "john.myers.1@7598.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "St Mary's Medical Group, LLC",
"address_1": "100 St Marys Epworth Xing # B100",
"city": "Newburgh",
"state": "IN",
"country_code": "US",
"postal_code": "476309497",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.