DR. TIMOTHY VERNON MYERS (NPI# 1548249246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548249246 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY VERNON MYERS |
| Credential | MD |
| Practice Address |
403 S Oak St Lake City MN 55041-1739 |
| Mailing Address |
11995 Singletree Ln Suite 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2018-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
255272-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
37040 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245696616 | Timothy Myers | Pharmacist | 6520 Pratt Rd, San Antonio, TX 78218 | 2016-01-14 |
| 1952534471 | Timothy David Myers | Licensed Practical Nurse | 2641 Symphony Way, West Carrollton, OH 45449-3312 | 2009-09-01 |
| 1972677342 | Timothy R Myers | Dentist | 9346 Main St, Cincinnati, OH 45242-7667 | 2006-11-20 |
| 1053400671 | Timothy Frederick Myers | Chiropractor | 7942 N Maple, #109, Fresno, CA 93720 | 2006-10-12 |
| 1326134982 | Timothy J. Myers | Dentist | 5321 Scotts Valley Dr., Suite 210, Scotts Valley, CA 95066 | 2006-10-04 |
| 1124030747 | Timothy Faust Myers | Psychiatry & Neurology | 550 Water Street, Building D2, Santa Cruz, CA 95060 | 2006-08-12 |
| 1144722547 | Timothy A Myers | Case Manager/Care Coordinator | 2627 Crystal Ave, Findlay, OH 45840-4459 | 2018-03-02 |
| 1013272277 | Timothy David Myers | Occupational Therapist | 1720 S Cliff Ave, Sioux Falls, SD 57105-2129 | 2012-07-12 |
| 1093017519 | Timothy E Myers | Pharmacist | 235 Tennant Sta, Morgan Hill, CA 95037-5463 | 2010-12-03 |
| 1366743585 | Timothy C. Myers | Social Worker | 1315 Wyoming St, Missoula, MT 59801-1725 | 2010-11-04 |
| Street Address |
403 S OAK ST |
| City | LAKE CITY |
| State | MN |
| Zip Code | 55041-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136242 | Perry Dental, Ltd. | Dentist | 210 N. Lakeshore Dr., Lake City, MN 55041 | 2018-03-06 |
| 1790182335 | Innovative Chiropractic Center | Chiropractor | 201 D East Ave., Red Wing, MN 55041 | 2014-11-25 |
| 1245327147 | David F Valkos | Chiropractor | 106 So Washington St, Lake City, MN 55041 | 2006-10-10 |
| 1063441830 | Michael D Ackermann | Optometrist | 117 W Center St, Lake City, MN 55041 | 2006-07-02 |
| 1871945469 | Heidi Ann Eisenman | Nurse Practitioner | 500 W Grant St, Lake City, MN 55041 | 2016-07-07 |
| 1760668693 | Elizabeth Agnes Olson | Chiropractor | 106 S Washington St, Lake City, MN 55041-1034 | 2008-01-10 |
| 1194900936 | Valkos Chiropractic Office, LLC | Clinic/Center | 106 S Washington St, Lake City, MN 55041-1034 | 2007-12-28 |
| 1689650350 | Ann Marie Lowe | Family Medicine | 500 W Grant St, Lake City, MN 55041-1143 | 2005-12-15 |
| 1689280406 | Kelly Marie Kennedy | Pharmacist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-09-17 |
| 1447863972 | Mayo Clinic Health System-lake City | Non-Pharmacy Dispensing Site | 500 W Grant St, Lake City, MN 55041-1143 | 2020-08-25 |
| Find all providers in zip 55041 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497728356 | Ricardo Bedoya-garcia | Radiology | 183 Nw Gwen Lake Ave, Lake City, FL 32055-3711 | 2006-02-10 |
| 1295038115 | Lake City Imaging LLC | Radiology | 3140 Nw Medical Center Ln, Suite 100, Lake City, FL 32055-4717 | 2010-12-15 |
| 1033250915 | Stewart Memorial Community Hospital | Radiology | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
| 1760530208 | Lake City - Kingstree Radiology, PC | Radiology | 258 N Ron Mcnair Blvd, Lake City, SC 29560-2462 | 2007-01-08 |
| 1417005935 | Bert L Booker | Radiology | 258 N Ron Mcnair Blvd, Lake City, SC 29560-2462 | 2007-01-08 |
| 1467562496 | Pachagiri L Suresh | Radiology | 619 S Marion Ave, Lake City, FL 32025-5808 | 2006-08-30 |
| 1750315081 | Radiology Associates of Lake City Pa | Radiology | 183 Nw Gwen Lake Ave, Lake City, FL 32055-3711 | 2006-07-11 |
| 1467484006 | Mary Hamer | Radiology | Vamc, Marion St., Lake City, FL 32025 | 2006-07-06 |
| 1407827876 | Ghulam Dastgir | Radiology | 619 S Marion Ave, Lake City, FL 32025-5808 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967234 | Central Imaging LLC | Radiology | 3351 Roosevelt Rd, Saint Cloud, MN 56301-6270 | 2020-09-17 |
| 1053930578 | Dmitriy Shchegolev | Radiology | 14346 Wilson Dr, Eden Prairie, MN 55347-4179 | 2020-04-14 |
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1861904765 | Stephanie Dykema | Radiology | 6809 Sandlewood Rd, Woodbury, MN 55125-2175 | 2017-10-31 |
| 1609392349 | Rai Keystone Imaging Services, LLC | Radiology | 5775 Wayzata Blvd Ste 400, St Louis Park, MN 55416-1271 | 2017-08-15 |
| 1235687088 | Jeffery E. Illman | Radiology | 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 | 2016-09-21 |
| 1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
| 1164765822 | Robben Andrew Schat | Radiology | 420 Delaware St Se - Mmc 292, Minneapolis, MN 55455-0341 | 2013-04-01 |
| 1326363102 | Gilda Boroumand | Radiology | 1901 Irving Ave S, Minneapolis, MN 55403-2824 | 2010-04-05 |
| 1477880276 | Siobhan Moira Flanagan | Radiology | Mmc 292,420 Delaware Street Se, University of Minnesota Department of Radiology, Minneapolis, MN 55455 | 2009-11-16 |
| Find all providers with the same taxonomy | ||||
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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.