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NPI Code Detail

MEDICARE: DR. JAMES MYERS MD

MEDICARE: DR. JAMES 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
1207R00000XInternal Medicine PhysicianMD05367RI
2207RP1001XPulmonary Disease PhysicianMD05367RI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2290007114OTHERRIRR MEDICARE
3709004158OTHERRIGROUP MEDICARE

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 : 1578550265
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES MYERS MD
Provider Business Mailing Address
First Line : 10 DAVOL SQ
Second Line : SUITE 400
City : PROVIDENCE
State : RI
Zip : 02903-4754
Country : US
Telephone Number : 401-421-4000
Fax Number : 401-272-1456
Provider Business Practice Location Address
First Line : 375 WAMPANOAG TRL
Second Line :
City : RIVERSIDE
State : RI
Zip : 02915-2232
Country : US
Telephone Number : 401-649-4070
Fax Number : 401-649-4071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 04/02/2024

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