JERRY K MYERS (NPI# 1851399505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851399505 |
Entity Type | Individual |
Full Name | JERRY K MYERS |
Credential | MD |
Practice Address |
5500 Kell Blvd Suite 100 Wichita Falls TX 76310-1612 |
Practice Telephone | 9406965335 |
Practice Fax Number | 9406961114 |
Mailing Telephone | 9406965335 |
Mailing Fax Number | 9406961114 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2013-12-19 |
NPI Deactivation Date | 03/20/2006 |
NPI Reactivation Date | 2006-03-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | E2757 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS | 81720X | 01 |
TX | 110622103 | 05 | |
TX | MEDICARE RAILROAD | 081928184 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326469859 | Jerry Richard Myers | Ophthalmology | 13405 Cherry Tree Rd, Carmel, IN 46033-8802 | 2013-12-31 |
1528451721 | Jerry Myers | Counselor | 725 Highland Ave, Suite 100, Winston Salem, NC 27101-4180 | 2015-03-12 |
1619182144 | Jerry David Myers | Optometrist | 4600 Massachusetts Ave Nw, Washington, DC 20016-2362 | 2007-05-10 |
Street Address |
5500 KELL BLVD SUITE 100 |
City | WICHITA FALLS |
State | TX |
Zip Code | 76310-1612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497123772 | Texoma Primary Care Clinic | Nurse Practitioner | 5500 Kell Blvd, Suite 500, Wichita Falls, TX 76310-1612 | 2015-09-03 |
1578751624 | Jack C. Askins, M.d. | Internal Medicine | 5500 Kell Blvd, Suite 400, Wichita Falls, TX 76310-1612 | 2007-10-12 |
1538269824 | Jerry K. Myers, M.d., Associated | Surgery | 5500 Kell Blvd, Suite 100, Wichita Falls, TX 76310-1612 | 2006-09-25 |
1861470940 | Robert K. King | Urology | 5500 Kell Blvd, Suite 200, Wichita Falls, TX 76310-1612 | 2006-01-09 |
1316920994 | Michael W Toulan | Urology | 5500 Kell Blvd, Suite 200, Wichita Falls, TX 76310-1612 | 2005-11-28 |
1053394627 | Phillip E Dowd | Urology | 5500 Kell Blvd, Suite 200, Wichita Falls, TX 76310-1612 | 2005-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205329067 | Alesha Lynn Dean | Licensed Vocational Nurse | 6211 Talon Trail, Wichita Falls, TX 76310 | 2018-06-07 |
1962766741 | Kimberly D'anne Ravelo | Audiologist | 1 Burnside Drive, Wichita Falls, TX 76310 | 2012-06-27 |
1407142417 | Tobin Strom | Radiology | Texas Oncology, 5400 Kell West Blvd, Wichita Falls, TX 76310 | 2011-06-28 |
1386850055 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 6086 Kovarik Road, Wichita Falls, TX 76310 | 2007-05-16 |
1639391394 | Amy Louise Walmsley | Pharmacist | 1724 Woodridge Dr, Wichita Falls, TX 76310 | 2007-05-03 |
1619007416 | Stephanie Joy Postma | Specialist/Technologist | #1 West Medical Court, Wichita Falls, TX 76310 | 2007-03-07 |
1568518306 | Bestcare Health Services,inc | Home Health | 5800 Kell West Blvd, Suite 500, Wichita Falls, TX 76310 | 2007-01-26 |
1851453856 | Anthony Armando Denis Noya | Family Medicine | 8 Prairie Lace Court, Wichita Falls, TX 76310 | 2006-12-15 |
1467872127 | William Russell | Family Medicine | 4327 Barnett Rd, Wichita Falls, TX 76310 | 2014-04-22 |
1528297256 | Vanya David Wagler | Internal Medicine | 4327 Barnett Rd, Wichita Falls, TX 76310 | 2009-07-02 |
Find all providers in zip 76310 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023083839 | Tammy Lee Sartor | Surgery | 1600 Brook Ave, Wichita Falls, TX 76301-5620 | 2006-02-23 |
1316918782 | Kenneth M Warnock | Surgery | # 6 Eureka Circle, Wichita Falls, TX 76308 | 2006-02-01 |
1669466694 | Timothy Kevin Thomas | Surgery | 2945 Southwest Pkwy, Wichita Falls, TX 76308-4145 | 2005-09-06 |
1447759113 | Alan Coleman Md Pllc | Surgery | 1600 11th St, Wichita Falls, TX 76301-4300 | 2018-02-07 |
1962715094 | Christopher Young Kang | Surgery | 1600 11th St, Wichita Falls, TX 76301 | 2010-07-18 |
1467773978 | Terris Laurent White | Surgery | 1600 11th St, Wichita Falls, TX 76301-4300 | 2010-06-18 |
1255657185 | Christal Cramer Hames | Surgery | 1600 11th St, Wichita Falls, TX 76301-4300 | 2010-04-16 |
1205063435 | Alan Coleman | Surgery | 1600 11th St, Wichita Falls, TX 76301 | 2009-06-15 |
1427234368 | Frederick M. Langner, Md Pa | Surgery | 501 Midwestern Pkwy E, Wichita Falls, TX 76302-2302 | 2008-01-10 |
1275752552 | Christopher Wallace Finnell | Surgery | 2945 Southwest Pkwy, Wichita Falls, TX 76308-4145 | 2007-04-24 |
Find all providers in WICHITA FALLS |
City | WICHITA FALLS |
Zip Code | 76310 |
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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.