Organization Active NPI

Ian Myers, MD LLC

  • Family Medicine Physician
  • Elkton, MD
National Provider Identifier
1962690743
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0059266 Issued in MD
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0059266 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

106 Bow St
Elkton, MD 21921-5544

Mailing address

PO Box 190
Elkton, MD 21922-0190

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
P00070381OtherMEDICARE 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.

Verify at the official NPI Registry.