Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | R3C82 | MO |
Y | 207RP1001X | Pulmonary Disease | R3C82 | MO |
NPI | 1629078985 |
---|---|
Provider Name | Dr. Thomas Morgan Hyers |
First Address | Saint Louis, MO 63141-6857 |
Second Address | Saint Louis, MO 63141-6857 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 20/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10141F | BLUE CROSS BLUE SHIELD OF (01) | MO |
101960 | HEALTHLINK NUMBER (01) | MO |
41952 | GROUP HEALTH NUMBER (01) | MO |
431633368-005 | CIGNA NUMBER (01) | MO |
4805900 | UNITED HEALTHCARE NUMBER (01) | MO |
5105614 | AETNA NUMBER (01) | MO |
A12420 | (02) | MO |
A12420 | MERCY HEALTH PLANS (01) | MO |
BLC28594 | BLUE CHOICE (01) | MO |
P00028674 | RAILROAD RETIREMENT NUMBE (01) | MO |