MEDICARE: RICHARD H BYERS JR. MD

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	207Q00000X	Family Medicine Physician	35042428	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00432946	OTHER	OH	RAILROAD MEDICARE
3	080079621	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000012227	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1417956269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD H BYERS JR. MD

Provider Business Mailing Address
First Line	:	1157 N MONROE DR STE 220
Second Line	:
City	:	XENIA
State	:	OH
Zip	:	45385-1699
Country	:	US
Telephone Number	:	937-374-3484
Fax Number	:	937-374-7484

Provider Business Practice Location Address
First Line	:	1157 N MONROE DR STE 220
Second Line	:
City	:	XENIA
State	:	OH
Zip	:	45385-1699
Country	:	US
Telephone Number	:	937-374-3484
Fax Number	:	937-374-7484

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	11/24/2020

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Directions to “ RICHARD H BYERS JR. MD” Practice Location

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