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NPI Code Detail

MEDICARE: DR. MICHAEL STEPHEN MYERS APRN

MEDICARE: DR. MICHAEL STEPHEN MYERS APRN
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
1363L00000XNurse Practitioner3014332KY
2363LA2100XAcute Care Nurse Practitioner3014332KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174142103
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL STEPHEN MYERS APRN
Provider Business Mailing Address
First Line : PO BOX 636324
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-6324
Country : US
Telephone Number : 859-301-9010
Fax Number : 859-301-9018
Provider Business Practice Location Address
First Line : 1 MEDICAL VILLAGE DR
Second Line :
City : EDGEWOOD
State : KY
Zip : 41017-3403
Country : US
Telephone Number : 859-301-9010
Fax Number : 859-301-9018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2020
Last Update Date : 01/08/2026

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