MEDICARE: MURRAY THOMAS MYERS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	2021009066	MO

General Provider Information

NPI Number	:	1225683444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MURRAY THOMAS MYERS PA-C

Provider Business Mailing Address
First Line	:	PO BOX 801143
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-1143
Country	:	US
Telephone Number	:	573-331-5583
Fax Number	:	573-331-5079

Provider Business Practice Location Address
First Line	:	1012 N MAIN ST
Second Line	:
City	:	SIKESTON
State	:	MO
Zip	:	63801-5044
Country	:	US
Telephone Number	:	573-471-0330
Fax Number	:	573-471-0461

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2019
Last Update Date	:	01/14/2026

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