DR. CHARLES M MYERS JR. (NPI# 1801850193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801850193 |
| Entity Type | Individual |
| Full Name | DR. CHARLES M MYERS JR. |
| Credential | D.O. |
| Practice Address |
400 Sw 25th Ave Dept of Radiology Mineral Wells TX 76067-8246 |
| Mailing Address |
Po Box 1656 Aledo TX 76008-1656 |
| Practice Telephone | 9403257891 |
| Practice Fax Number | 9403286523 |
| Mailing Telephone | 8174411826 |
| Mailing Fax Number | 8174411856 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085B0100X |
Radiology Specialization: Body Imaging |
M1959 | TX | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M1959 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD TX | 0057NK | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922503002 | Charles Myers | Student in an Organized Health Care Education/Training Program | 3425 Crimson King Ct, Lexington, KY 40517-2807 | 2018-03-29 |
| 1679690820 | Charles Edwin Myers | Counselor | 2014 Cyrus Way, Denton, TX 76208-7568 | 2007-03-23 |
| 1588725634 | Charles J Myers | Chiropractor | 5030 Hilltop Rd, Apt K, Greensboro, NC 27407-5254 | 2006-12-13 |
| 1982622692 | Charles D Myers Jr. | Dentist | 133 Cedar St, St Stephen, SC 29479 | 2006-07-18 |
| 1245285949 | Charles Jeffrey Myers | Obstetrics & Gynecology | 938 Mezzanine Dr, Suite B, Lafayette, IN 47905-8641 | 2006-05-23 |
| 1306499603 | Charles Henry Myers II | Registered Nurse | 1313 E 20th St, Okmulgee, OK 74447-6303 | 2019-07-17 |
| 1669990529 | Charles R. Myers | Psychologist | 30 Airport Rd, South Burlington, VT 05403-6432 | 2017-08-31 |
| 1962857839 | Charles Myers | Dentist | 2350 Scenic Dr, Venice, FL 34293-1510 | 2016-04-28 |
| 1922408095 | Charles Myers | Pharmacist | 11416 Rockville Pike, Suite D, Rockville, MD 20852-3082 | 2014-08-26 |
| 1417375957 | Charles Myers | Pathology | 2307 Greene Way, Louisville, KY 40220-4009 | 2014-04-02 |
| Street Address |
400 SW 25TH AVE DEPT OF RADIOLOGY |
| City | MINERAL WELLS |
| State | TX |
| Zip Code | 76067-8246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972590602 | Palo Pinto County Hospital District | General Acute Care Hospital | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2005-09-27 |
| 1134779838 | Louis Graham | Nurse Practitioner | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2019-09-14 |
| 1841746864 | Questcare Telespecialty Solutions, Pllc | Internal Medicine | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2016-08-30 |
| 1962800961 | Yvonne G Hampton | Dietitian, Registered | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2014-12-08 |
| 1932334638 | Janiel Lynn Werner | Dietitian, Registered | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2009-05-25 |
| 1932359718 | Mary Kwaa Mens | Nurse Practitioner | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2008-09-29 |
| 1548464134 | George Thomas | Internal Medicine | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 2007-06-14 |
| 1093928137 | Palo Pinto County Hospital District | Family Medicine | 400 Sw 25th Ave, Mineral Wells, TX 76067 | 2007-05-07 |
| 1518170646 | Palo Pinto County Hospital District | Clinic/Center | 400 Sw 25th Ave, Mineral Wells, TX 76067 | 2007-05-07 |
| 1265652267 | Palo Pinto County Hospital District | Clinic/Center | 400 Sw 25th Ave, Mineral Wells, TX 76067 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392810 | Jamie Lee Olsen | Registered Nurse | 2517 Highway 180 E Ste B, Mineral Wells, TX 76067 | 2017-08-18 |
| 1740663475 | Mineral Wells, Pllc | Dentist | 931 N Fm 1821, Suite C, Mineral Wells, TX 76067 | 2015-06-30 |
| 1710367305 | Karin Denise Boggs | Counselor | 4113a Highway 180 East, Suite C, Mineral Wells, TX 76067 | 2015-06-09 |
| 1275786576 | Debby Louise Polozeck | Registered Nurse | 202 Sw 25th Ave Ste 300, Mineral Wells, TX 76067 | 2008-10-30 |
| 1427252469 | Ryan Freemyer Md Pa | Surgery | 214 Southwest 26th Avenue, Suite A, Mineral Wells, TX 76067 | 2007-06-13 |
| 1467664078 | Graford Isd | Local Education Agency (LEA) | 906 S W Fifth Ave, Mineral Wells, TX 76067 | 2007-05-04 |
| 1447462056 | Mineral Wells Isd | Local Education Agency (LEA) | 906 S. W. Fifth Ave, Mineral Wells, TX 76067 | 2007-05-04 |
| 1407070758 | Mineral Wells Women's Pavilion, P.a. | Obstetrics & Gynecology | 220 Sw 26th Avenue, Mineral Wells, TX 76067 | 2007-04-11 |
| 1871643007 | Med Pavilion PC | Pediatrics | 220a Sw 26th Ave, Mineral Wells, TX 76067 | 2007-01-11 |
| 1003990615 | Tim R Tarkenton | Obstetrics & Gynecology | 220 Sw 26th Ave, Mineral Wells, TX 76067 | 2006-10-24 |
| Find all providers in zip 76067 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463415 | Ct Medical Group | Radiology | 11901 Shadow Creek Pkwy Ste 111b, Pearland, TX 77584-7346 | 2020-10-04 |
| 1801312947 | Etsub Negussie Haileselassie | Radiology | 1702 Arbor Creek Dr., Garland, TX 75040 | 2017-08-21 |
| 1225370273 | Gary Brent Mayes | Radiology | 5248 Lower Crabapple Rd, Fredericksburg, TX 78624-7594 | 2013-03-17 |
| 1578820866 | Kuang-wei Eric Chang | Radiology | 2112 Sw H K Dodgen Loop Ste 110, Temple, TX 76504-7011 | 2012-04-12 |
| 1043583008 | 1st South Texas Pain Management | Radiology | 1431 Wirt Rd., 113, Houston, TX 77055 | 2012-02-21 |
| 1194058800 | Carlos Maldonado, D.o., P.a. | Radiology | 2933 Lazy Lake Dr, Harlingen, TX 78550-8633 | 2009-09-13 |
| 1326235359 | Louisea Marie Raymun Bonoan Deomampo | Radiology | University of Texas Medical Branch- Radiology, 301 University Boulevard Route 0709, Galveston, TX 77555-0709 | 2007-10-03 |
| 1518180488 | Border Radiology Consultants PC | Radiology | 1155 N Zaragoza Rd, Suite C107, El Paso, TX 79907-1812 | 2007-04-10 |
| 1861551046 | Radiology Associates of North Texas Pa | Radiology | 2911 Oak Park Cir, Fort Worth, TX 76109-1893 | 2006-12-06 |
| 1851450969 | Radiology Associates of North Texas Pa | Radiology | 525 E Southlake Blvd, Southlake, TX 76092-6235 | 2006-12-06 |
| Find all providers with the same taxonomy | ||||
| City | MINERAL WELLS |
| Zip Code | 76067 |
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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.