NPIMap

Organization Active NPI

Myers Podiatry LLC

  • Podiatrist
  • Dover, OH
National Provider Identifier
1932285590
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003164M Issued in OH
Legal business name
MYERS PODIATRY LLC
Practice address
515 Union Ave
Suite 147
Dover, OH 44622-3004
Phone
(330) 339-6233
Fax
(330) 343-8460
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Dr. Adam Michael Myers, DPMNPI 1972571545
Title
Owner/Physician
Phone
(330) 339-6233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 36003164M OH Primary

Addresses

Primary practice location

515 Union Ave
Suite 147
Dover, OH 44622-3004

Mailing address

515 Union Ave
Suite 147
Dover, OH 44622-3004
Phone (330) 339-6233

Other identifiers 2

IdentifierTypeStateIssuer
2642519MedicaidOH
P00383430OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

515 Union Ave
Ste 147
Dover, OH 44622
Phone (330) 339-6233

308 E High Ave
New Philadelphia, OH 44663
Phone (216) 339-6233

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1932285590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 UNION AVE",
            "address_2": "SUITE 147",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223004",
            "telephone_number": "330-339-6233",
            "fax_number": "330-343-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 UNION AVE",
            "address_2": "SUITE 147",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223004",
            "telephone_number": "330-339-6233",
            "fax_number": "330-343-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYERS PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "330-339-6233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003164M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2642519",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00383430",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.