Basic Information
| Provider Information | |||||||||
| NPI: | 1578768024 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MYERS | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | PATRICK | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D., PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2002 MEDICAL PKWY STE 235 | ||||||||
| Address2: | |||||||||
| City: | ANNAPOLIS | ||||||||
| State: | MD | ||||||||
| PostalCode: | 214013260 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4102662770 | ||||||||
| FaxNumber: | 4108416251 | ||||||||
| Practice Location | |||||||||
| Address1: | 2002 MEDICAL PKWY STE 235 | ||||||||
| Address2: | |||||||||
| City: | ANNAPOLIS | ||||||||
| State: | MD | ||||||||
| PostalCode: | 214013260 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4102662770 | ||||||||
| FaxNumber: | 4108416251 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2007 | ||||||||
| LastUpdateDate: | 10/23/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | D66722 | MD | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 1069 | 01 | MD | ARA - BCBS | OTHER | 10690036 | 01 | MD | BLUE CHOICE | OTHER | 38110091 | 01 | MD | SHIPLEYS IMAGING | OTHER | CA1932 P01063488 | 01 | MD | AAD RAILROAD PTAN | OTHER | KC46SH 60340002 | 01 | MD | SHIPLEYS IMAGING CAREFIRST | OTHER | 044204600 | 01 | MD | MEDICAL ASSISTANCE - SHIPLEYS | OTHER | S645 60056008 | 01 | MD | AAD CAREFIRST | OTHER | 044204600 | 01 | MD | ARA MEDICAID | OTHER | 044204600 | 05 | MD | MEDICAID | 219037DZYC | 01 | MD | MEDICARE PIN - BCF GROUP | OTHER | 219037ZCKL | 01 | MD | SHIPLEYS GROUP PTAN | OTHER | 219037ZEDL | 01 | MD | AAD | OTHER | K606AN | 01 | MD | ARA - BCBS | OTHER | 10730030 | 01 | MD | AAD PROVIDER | OTHER | 219037ZD7B | 01 | MD | AAD GROUP PTAN | OTHER | CK4885 P01055819 | 01 | MD | BOWIE RAILROAD PTAN | OTHER | 9052710 | 01 | MD | AETNA AAD SHIPLEYS | OTHER |