Provider / Organization | NPI | Date Certified |
---|---|---|
MICHAEL W MYERS | 1255498663 | 2024-11-08 |
Michael W Myers [M] graduated in 1988 from University Of Michigan Medical School and primarily specializes in Otolaryngology.
Michael W Myers is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255498663. Registration indicates Michael W Myers is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Otolaryngology (Otolaryngology, ) (Specialist Network, ) (Otolaryngology, Allopathic & Osteopathic Physicians)
PECOS ID | 2961446554 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Michael W Myers M.D. |
Practice Office Address | 1115 RONALD REAGAN PKWY SUITE 255 AVON, IN US |
Practice Office Telephone | 3178447059 |
Practice Office Fax | 3178190044 |
Mailing Address | 10201 N ILLINOIS ST STE 110 CARMEL, IN 462901172 US |
Business Telephone | 3178194516 |
Business Fax | 3178190044 |
Direct Messaging Address [] | [email protected] | Direct Otolaryngology Associates, LLC |
Code | Practice | License No State |
---|---|---|
207Y00000X PRIMARY | Allopathic & Osteopathic Physicians Otolaryngology Otolaryngology Specialist Network Otolaryngology Allopathic & Osteopathic Physicians | 01042445A
IN |
040006649 | OTHER | IN | MEDICARE RAILRO |
100119180 | MEDICAID | IN |