DAVID KENNETH MYER (NPI# 1184858763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184858763 |
Entity Type | Individual |
Full Name | DAVID KENNETH MYER |
Credential | M.D. |
Practice Address |
8450 Northwest Blvd Indianapolis IN 46278-1381 |
Practice Telephone | 3178022000 |
Practice Fax Number | 3178022170 |
Mailing Telephone | 3178022000 |
Mailing Fax Number | 3178022170 |
Enumeration Date | 2009-05-11 |
Last Update Date | 2017-11-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 01075111A | IN | Allopathic & Osteopathic Physicians |
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
01075111A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201173280 | 05 |
Street Address |
8450 NORTHWEST BLVD |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46278-1381 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427053214 | Michele M Spolyar | Internal Medicine | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2005-06-17 |
1952928020 | Callie C Mckelvey | Specialist/Technologist, Other | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2020-07-06 |
1467088435 | Kimberly Cassetty | Physical Therapist | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2020-03-20 |
1548803513 | Arie Lee Lorenz | Physician Assistant | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2019-10-23 |
1720634298 | Andrew William Bodrogi | Orthopaedic Surgery | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2019-08-12 |
1992271217 | Amanda Marie Ruff | Physician Assistant | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2018-10-15 |
1689154320 | Daryl B Dillman | Orthopaedic Surgery | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2018-08-21 |
1598245003 | Morgan Scheid Clarkson | Physician Assistant | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2018-08-15 |
1154846004 | Chloe L Meiss | Physician Assistant | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2017-08-11 |
1215450861 | Julia Marie Williams | Physician Assistant | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2017-07-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
1518411123 | Maricar Maria Veluz | Physical Therapist | 5980 West 71st Street, Suite 102, Indianapolis, IN 46278 | 2016-08-11 |
1447514682 | Sean Russell Dillon | Family Medicine | 7439 Woodland Dr Ste 105, Indianapolis, IN 46278 | 2012-07-03 |
1154605137 | Lisa Marie Louks | Pharmacist | 6820 Shanghai Circle, Indianapolis, IN 46278 | 2011-10-07 |
1750689402 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 5807 W 73rd St, Indianapolis, IN 46278 | 2011-03-04 |
1083863013 | Concentra Health Services, Inc. | Clinic/Center | 5604 W. 74th Street, Indianapolis, IN 46278 | 2008-09-15 |
1770779001 | Elite Chiropractic & Wellness, Inc | Chiropractor | 5650 West 86th Street, Suite 128, Indianapolis, IN 46278 | 2007-09-20 |
1073734737 | Sochiele Atienza | Contractor | 5980 W. 71st Street, Suite 201, Indianapolis, IN 46278 | 2007-05-01 |
1417034422 | Julie Daftari | Family Medicine | 7440 Woodland Drive, Indianapolis, IN 46278 | 2006-11-01 |
1437146594 | Kci Usa Inc. | Durable Medical Equipment & Medical Supplies | 7015 Corporate Cir, Suite 7015, Indianapolis, IN 46278 | 2005-10-04 |
Find all providers in zip 46278 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801235429 | Adam Michael Huff | Orthopaedic Surgery | 1400 N Ritter Ave Ste 510, Indianapolis, IN 46219 | 2013-06-17 |
1366762718 | Advanced Orthopaedic Foot and Ankle Clinic of Indiana Inc | Orthopaedic Surgery | 1438 Aggie Ln, Indianapolis, IN 46260-4098 | 2010-06-08 |
1295908929 | Jeffrey Schabler | Orthopaedic Surgery | 2113 E 62nd St # 210, Indianapolis, IN 46220-2311 | 2008-04-02 |
1205294907 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 6920 Gatwick Dr, Suite 200, Indianapolis, IN 46241-9504 | 2016-02-09 |
1679530851 | Jonathan Patrick Smerek | Orthopaedic Surgery | 201 Pennsylvania Pkwy, Suite 200, Indianapolis, IN 46280-1393 | 2006-04-29 |
1285620732 | Bryan E Hendrix | Orthopaedic Surgery | 8780 Purdue Rd, Suite # 7, Indianapolis, IN 46268-6129 | 2005-09-21 |
1275530602 | Douglas Alan Flory | Orthopaedic Surgery | 8141 S Emerson Ave, Suite A, Indianapolis, IN 46237-8561 | 2005-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417287970 | Athelite Orthopedics and Sports Medicine, LLC | Orthopaedic Surgery | 365 S Park Ridge Rd, Suite 102, Bloomington, IN 47401-8361 | 2010-01-06 |
1407841463 | Wendy K Kennedy | Orthopaedic Surgery | 1024 S 6th St, Suite 102, Terre Haute, IN 47807-5015 | 2005-09-15 |
1003148685 | Medical Specialists Inc., PC | Orthopaedic Surgery | 9034 Columbia Ave, Munster, IN 46321-2905 | 2010-02-05 |
1235462540 | Melanie Sanders | Orthopaedic Surgery | 1199 Hadley Rd, Mooresville, IN 46158-1788 | 2009-09-18 |
1982861522 | James Flynn | Orthopaedic Surgery | 53880 Carmichael Dr, South Bend, IN 46635-1567 | 2008-05-21 |
1588671788 | Steven A Herbst | Orthopaedic Surgery | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2006-08-01 |
1538187950 | Scott J Trumble | Orthopaedic Surgery | 2310 California Road, Elkhart, IN 46514-1228 | 2006-07-17 |
1104895978 | Laurette Chang | Orthopaedic Surgery | 2600 Ferry St, Lafayette, IN 47904-3055 | 2006-03-15 |
1013902089 | Matthew A Parmenter | Orthopaedic Surgery | 2920 Mcintyre Dr, Suite 100, Bloomington, IN 47403-4221 | 2005-09-15 |
1659379543 | Terence A Alvey | Orthopaedic Surgery | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2005-07-13 |
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City | INDIANAPOLIS |
Zip Code | 46278 |
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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.