Mark C. Myron, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

04-18638 Issued in KS

Practice address

12200 W 110TH St
Overland Park, KS 66210-4045

Phone

(913) 574-2650

Fax

(913) 574-2769

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kansas City Cancer Center, LLC

  • Medical Oncology Physician
  • Overland Park, KS
  • NPI 1003864471

  Hematology & Oncology

  NPD (past)
• University of Kansas Hospital Authority

  • Multi-Specialty Clinic/Center
  • Kansas City, KS
  • NPI 1528019502
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1902878309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 INDIAN CREEK PKWY",
            "address_2": "BUILDING 9, SUITE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102002",
            "telephone_number": "913-574-2800",
            "fax_number": "913-574-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104045",
            "telephone_number": "913-574-2650",
            "fax_number": "913-574-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRON",
        "first_name": "MARK",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KS",
            "license": "04-18638",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "34598",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100176830C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902878309",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Myers, LCPC
• Mary Eileen Myers, PTA
• Myhealth at Home, LLC
• Myocore, LLC
• Shannon W Myres, PT
• Taliyah O Myrtil
• Rachel Nab, LPC
• Robert Nab, D.C.
• Nabchiro Inc. Chartered
• Kathy Eileen Nace, LPC

• Hematology & Oncology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Hematology & Oncology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.