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Physician Compare National (NPI:1932150489)

HEALTHCARE PROVIDER: JULIA LYNN MYERS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1932150489
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5496723108
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070511000153
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MYERS
Individual professional last name
Provider First Name JULIA
Individual professional first name
Provider Middle Name L
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 2001
Individual professional's medical school graduation year
Primary Specialty HOSPITALIST
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name SENTARA MEDICAL GROUP
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 8921903923
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 852
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 4000 COLISEUM DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 280
Group Practice or individual's line 2 address
City HAMPTON
Group Practice or individual's city
State VA
Group Practice or individual's state
Zip Code 236665974
Group Practice or individual's zip code (9 digits when available)
Phone Number 7579849890
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 490093
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SENTARA CAREPLEX HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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