Individual provider Active NPI

John L Myers, MD

  • Family Medicine Physician
  • Newburgh, IN
National Provider Identifier
1891745733
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01065083A Issued in IN
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

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

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 Hospital, Evansville, IN, CCN 150100

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
KY31780KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Medical Group, LLC Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
St Mary'S Medical Group, LLC CurrentSince Jul 1, 2018 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.

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

Verify at the official NPI Registry.