Individual provider Active NPI

Paul Robert Myers, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1922064310
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
652399 Issued in TX
Practice address
2606 Grant St
Houston, TX 77006-2836
Phone
(713) 227-4600
Fax
(713) 227-4202
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 652399 TX Primary

Addresses

Primary practice location

2606 Grant St
Houston, TX 77006-2836

Mailing address

PO Box 4346
Dept 675
Houston, TX 77210-4346
Phone (281) 358-8114

Other identifiers 3

IdentifierTypeStateIssuer
86172UOtherTXBLUE CROSS/BLUE SHIELD
070305OtherTXAANA
166691901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000853 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587640024 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Anesthesia Providers, PLLCGroup PAC ID 0547529596, 112 clinicians

Practice addresses (Care Compare)

4615 Southwest Fwy
Suite 850
Houston, TX 77027-7162
Phone (281) 475-4428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Anesthesia Consultants, PLLC CurrentSince Sep 23, 2020 Accepting new patients
Dynamic Anesthesia Providers PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Robert R McMinn Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
River Oaks Anesthesia Consultants PA Past Accepting new patients

Locations

11970 N Central Expy
Dallas, TX 75243
Phone (972) 566-7111

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

17750 Cali Dr
Houston, TX 77090
Phone (281) 586-7600

510 W Tidwell Rd
Houston, TX 77091
Phone (281) 618-8500

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

1475 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 369-9001

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

25305 Interstate 45
The Woodlands, TX 77380
Phone (281) 868-7246

26710 N Freeway
Ste B100
The Woodlands, TX 77386
Phone (281) 369-9001

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1922064310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4346",
            "address_2": "DEPT 675",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "281-358-8114",
            "fax_number": "281-358-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 GRANT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062836",
            "telephone_number": "713-227-4600",
            "fax_number": "713-227-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "652399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "86172U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA",
            "identifier": "070305",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166691901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.