BEVERLEY MYERS


Address: 4730 17th St Se, Rochester, MN 55904-6680
Phone: 5072825540

BEVERLEY MYERS (NPI# 1871705749) 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) 1871705749
Entity Type Individual
Full Name BEVERLEY MYERS
Credential CSA
Practice Address 4730 17th St Se
Rochester
MN 55904-6680
Practice Telephone 5072825540
Enumeration Date 2007-05-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4730 17TH ST SE
City ROCHESTER
State MN
Zip Code 55904-6680

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1215484803 Kylene Starr Allen Social Worker 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 2016-09-01
1013384627 Breathe Easy Medical Supplies Inc. Durable Medical Equipment & Medical Supplies 40 16th St. Sw Suite G, Rochester, MN 55904 2015-08-31
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518411107 Michelle Ann Swider Physician Assistant 1425 Portland Ave Ste 220, Rochester, NY 14621-3011 2016-08-11
1124423355 Amanda Schnorf Physician Assistant 2824 W Ridge Rd, Rochester, NY 14626-1639 2014-10-30
1679989479 Jacob William Raifstanger Physician Assistant 2655 Ridgeway Ave Ste 460, Rochester, NY 14626-4296 2014-07-01
1225385305 Katie Elizabeth Kenny Physician Assistant 1555 Long Pond Rd Fl 1, Rochester, NY 14626-4122 2012-08-08
1558683904 Oswaldo Serge Physician Assistant 4036 3rd St Nw, Rochester, MN 55901-7564 2010-02-25
1417288945 Amanda Kay Johnson Physician Assistant 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 2010-01-22
1033322797 Joan Marie Wobig Physician Assistant 5426 15th St Se, Rochester, MN 55904-6719 2007-05-08
1831310739 Brenda Gerdts Physician Assistant 4838 Scenic View Dr Sw, Rochester, MN 55902-1527 2007-05-01
1558419739 Kathryn Ann Ciurca Physician Assistant 868 Clover St, Rochester, NY 14610-3232 2007-01-06
1245265594 Margaret M Casper Physician Assistant 1445 Portland Ave Ste 210, Rochester, NY 14621-3008 2006-07-12
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Competitor

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City ROCHESTER
Zip Code 55904

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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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