MEDICARE: DR. TIMOTHY VERNON MYERS 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	2085R0202X	Diagnostic Radiology Physician	255272-1	NY
2	2085R0202X	Diagnostic Radiology Physician	37040	MN
3	2085R0202X	Diagnostic Radiology Physician	04-33400	KS

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
2	004030030	OTHER	KS	PTAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548249246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY VERNON MYERS MD

Provider Business Mailing Address
First Line	:	11995 SINGLETREE LN
Second Line	:	SUITE 500
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-5347
Country	:	US
Telephone Number	:	952-595-1301
Fax Number	:	612-294-4903

Provider Business Practice Location Address
First Line	:	403 S OAK ST
Second Line	:
City	:	LAKE CITY
State	:	MN
Zip	:	55041-1739
Country	:	US
Telephone Number	:	952-595-1100
Fax Number	:	612-294-4903

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	03/17/2026

Similar Medicare Providers

1588845580 — MS. LISA A BURDICK RPH
Practice Location Address:

84 VALLEY DR
WEST SAND LAKE, NY
12196-1739

Practice Phone: 518-674-1309
Practice Fax:

1295980076 — DR. ANNE ELIZABETH PERNICHELE DC
Practice Location Address:

1250 SUNNINGDALE RD
LAKE OSWEGO, OR
97034-1739

Practice Phone: 503-805-9183
Practice Fax: 503-635-2415

1396989448 — MS. CASEY MULLIGAN WALSH MS, CCC-SLP
Practice Location Address:

68 VALLEY DR
WEST SAND LAKE, NY
12196-1739

Practice Phone: 518-674-4114
Practice Fax: 518-279-0612

1871806935 — JOHNLCOCCHIARAMDAPROFESSIONALMEDICALCORPORATION
Practice Location Address:

1739 RYAN ST
LAKE CHARLES, LA
70601-6049

Practice Phone: 337-439-9419
Practice Fax: 337-491-9577

1962747295 — FRANK AVERSA
Practice Location Address:

1739 E MAIN ST
MOHEGAN LAKE, NY
10547-1356

Practice Phone: 914-397-1885
Practice Fax:

1104161447 — JOHN CHRIST
Practice Location Address:

1739 E MAIN ST
MOHEGAN LAKE, NY
10547-1356

Practice Phone: 914-214-8190
Practice Fax:

Directions to “ DR. TIMOTHY VERNON MYERS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.