JERRY K MYERS


Address: 5500 Kell Blvd, Suite 100, Wichita Falls, TX 76310-1612
Phone: 9406965335

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery E2757 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 81720X 01
TX 110622103 05
TX MEDICARE RAILROAD 081928184 01

Other Providers JERRY MYERS

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

Office Location

Street Address 5500 KELL BLVD
SUITE 100
City WICHITA FALLS
State TX
Zip Code 76310-1612

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City WICHITA FALLS
Zip Code 76310

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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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