Individual
DR. DOUGLAS MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4063 N POINTE DR, SUITE B, ZANESVILLE, OH 43701-7647
(740) 452-1905
(740) 452-4117
Mailing address
860 BETHESDA DR, ZANESVILLE, OH 43701-1800
(740) 454-4651
(740) 454-4653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35052206M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019408
ANTHEM PIN
OH
01
—
000000177771
UNISON PIN
OH
01
—
0101037
UHC PIN
OH
05
—
0617416
—
OH
01
—
080025058
MEDICARE RAILROAD
OH
01
—
0989499
GROUP MEDICAID
OH
01
—
311413469047
CARESOURCE PIN
OH
01
—
CA1586
GROUP MEDICARE RAILROAD
—
01
—
MY0770343
MEDICARE PTAN
—
Enumeration date
12/16/2005
Last updated
02/03/2021
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