Active NPI
Ian Myers, MD LLC
- Family Medicine Physician
- Elkton, MD
National Provider Identifier
1962690743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0059266
- Legal business name
- IAN MYERS, MD LLC
- Practice address
- 106 Bow St
Elkton, MD 21921-5544 - Phone
- (410) 398-4000
- NPI assigned
- Oct 5, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jessica Cornell
- Title
- Cred Coordinator
- Phone
- (410) 398-4679
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0059266 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
106 Bow St
Elkton, MD 21921-5544
Mailing address
PO Box 190
Elkton, MD 21922-0190
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00070381 | Other | MEDICARE RAILROAD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2007.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1962690743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "ELKTON",
"state": "MD",
"postal_code": "219220190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BOW ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215544",
"telephone_number": "410-398-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IAN MYERS, MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-05",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "CORNELL",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "CRED COORDINATOR",
"authorized_official_telephone_number": "410-398-4679"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MD",
"license": "D0059266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00070381",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.