Provider Demographics
NPI:1578768024
Name:MYERS, CHRISTOPHER PATRICK (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:PATRICK
Last Name:MYERS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 MEDICAL PKWY STE 235
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3260
Mailing Address - Country:US
Mailing Address - Phone:410-266-2770
Mailing Address - Fax:410-841-6251
Practice Address - Street 1:2002 MEDICAL PKWY STE 235
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3260
Practice Address - Country:US
Practice Address - Phone:410-266-2770
Practice Address - Fax:410-841-6251
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD667222085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1069OtherARA - BCBS
MD10690036OtherBLUE CHOICE
MD38110091OtherSHIPLEYS IMAGING
MDCA1932 P01063488OtherAAD RAILROAD PTAN
MDKC46SH 60340002OtherSHIPLEYS IMAGING CAREFIRST
MD044204600OtherMEDICAL ASSISTANCE - SHIPLEYS
MDS645 60056008OtherAAD CAREFIRST
MD044204600OtherARA MEDICAID
MD044204600Medicaid
MD219037DZYCOtherMEDICARE PIN - BCF GROUP
MD219037ZCKLOtherSHIPLEYS GROUP PTAN
MD219037ZEDLOtherAAD
MDK606ANOtherARA - BCBS
MD10730030OtherAAD PROVIDER
MD219037ZD7BOtherAAD GROUP PTAN
MDCK4885 P01055819OtherBOWIE RAILROAD PTAN
MD9052710OtherAETNA AAD SHIPLEYS