JOHN CARLTON MYERS


Address: 1340 Charles St Ste 300, Rockford, IL 61104-2200
Phone: 7796968800

JOHN CARLTON MYERS (NPI# 1174553523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174553523
Entity Type Individual
Full Name JOHN CARLTON MYERS
Credential M.D.
Practice Address 1340 Charles St Ste 300
Rockford
IL 61104-2200
Mailing Address Po Box 1567
Rockford
IL 61110-0067
Practice Telephone 7796968800
Enumeration Date 2006-07-03
Last Update Date 2013-11-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 036095491 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036095491 05
WI 32318300 05

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Office Location

Street Address 1340 CHARLES ST STE 300
City ROCKFORD
State IL
Zip Code 61104-2200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427052273 Justin T Mao Internal Medicine 1340 Charles St Ste 300, Rockford, IL 61104-2200 2005-06-09
1215496914 Elizabeth C Zook Registered Nurse 1340 Charles St Ste 300, Rockford, IL 61104-2200 2019-03-13
1306380555 Kimberly M Harris Nurse Practitioner 1340 Charles St Ste 300, Rockford, IL 61104-2200 2016-12-07
1639429855 Danielle Jordal Nurse Practitioner 1340 Charles St Ste 300, Rockford, IL 61104-2200 2012-09-14
1801121405 Christine L. Valentine Nurse Practitioner 1340 Charles St Ste 300, Rockford, IL 61104-2200 2009-10-15
1477704252 Mazen Hadid Internal Medicine 1340 Charles St Ste 300, Rockford, IL 61104-2200 2008-10-09
1457516965 Rehmat Ullah Sheikh Internal Medicine 1340 Charles St Ste 300, Rockford, IL 61104-2200 2008-07-23
1508060518 Rebecca Jo Behling Nurse Practitioner 1340 Charles St Ste 300, Rockford, IL 61104 2007-06-13
1639260508 Paul T Vaitkus Internal Medicine 1340 Charles St Ste 300, Rockford, IL 61104-2200 2006-09-27
1871574301 Ian J Goldberg Internal Medicine 1340 Charles St Ste 300, Rockford, IL 61104-2200 2005-11-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699216564 Swedishamerican Hospital Nutritionist 1415 E. State St., Lower Level A3, Rockford, IL 61104 2017-03-13
1376950485 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 200, Rockford, IL 61104 2014-07-21
1871907774 Oday Alsarraf Psychiatry & Neurology 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 2014-06-18
1962652339 Children's Home and Aid Community/Behavioral Health 424 7th St, Rockford, IL 61104 2008-09-23
1689729535 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 100, Rockford, IL 61104 2007-01-23
1790873016 David J Schleicher Obstetrics & Gynecology 209 9th St Ste 200, Rockford, IL 61104 2006-10-11
1013026624 Thomas Ryan Moss Dentist 1415 E State Street, Rockford, IL 61104 2006-08-29
1366452096 Arturo Santiago Manas Obstetrics & Gynecology 1415 E State St Fl 8, Rockford, IL 61104 2006-08-08
1245263268 William John Stout Physician Assistant 1401 E State Street, Rockford, IL 61104 2006-07-10
1689604969 Prabha Chand Dosi Pediatrics 1401 E. State Street, Rockford, IL 61104 2006-07-03
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528092194 Thomas J Stieglitz Thoracic Surgery (Cardiothoracic Vascular Surgery) 5668 E State St, Rockford, IL 61108-2490 2006-07-10
1255364139 Thomas Lloyd Carter Jr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 5668 E State St, Rockford, IL 61108-2490 2006-07-07
1073568655 John H. Braxton Thoracic Surgery (Cardiothoracic Vascular Surgery) 1340 Charles St, Rockford, IL 61104-2200 2006-05-23
1609826312 Fernando Neves Lamounier Thoracic Surgery (Cardiothoracic Vascular Surgery) 2400 N. Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2006-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205363041 Sachowdhry Thoracic Surgery (Cardiothoracic Vascular Surgery) 1 S Summit Ave, Oakbrook Terrace, IL 60181-2212 2017-05-11
1760930028 Hiroto Kitahara Thoracic Surgery (Cardiothoracic Vascular Surgery) 5841 S. Maryland Avenue M/c6040, Chicago, IL 60637 2016-09-15
1720440282 Azad Karim Thoracic Surgery (Cardiothoracic Vascular Surgery) 441 E Erie St Apt 1803441, Chicago, IL 60611-4446 2016-03-24
1982002838 Milton Weinberg Jr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 983 Kirkhill Ln, Lake Forest, IL 60045-4209 2014-12-09
1235557190 Bartlomiej Imielski Thoracic Surgery (Cardiothoracic Vascular Surgery) 201 E. Huron St., Galter 11-140, Chicago, IL 60611 2014-03-28
1841635869 Aaron Maxwell Kime Thoracic Surgery (Cardiothoracic Vascular Surgery) 133 E Brush Hill Rd Ste 200, Elmhurst, IL 60126-5661 2013-05-03
1952744823 Walter Lee Barker Thoracic Surgery (Cardiothoracic Vascular Surgery) 2912 N. Commonwealth Ave., #11c, Chicago, IL 60657-6235 2013-04-10
1952641649 Willard A Fry Thoracic Surgery (Cardiothoracic Vascular Surgery) 1500 Sheridan Rd, #10e, Wilmette, IL 60091-1873 2013-02-18
1487903092 Horizons In Healthcare LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 372 Red Bud Ct., Frankfort, IL 60423-2128 2012-08-29
1518215284 Paul Naffah Thoracic Surgery (Cardiothoracic Vascular Surgery) 6161 So County Line Rd, Burr Ridge, IL 60527 2012-08-28
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Competitor

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City ROCKFORD
Zip Code 61104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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