Provider Demographics
NPI:1629078985
Name:HYERS, THOMAS MORGAN (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MORGAN
Last Name:HYERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 N NEW BALLAS RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6857
Mailing Address - Country:US
Mailing Address - Phone:314-699-9383
Mailing Address - Fax:314-699-9384
Practice Address - Street 1:522 N NEW BALLAS RD
Practice Address - Street 2:SUITE 350
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6857
Practice Address - Country:US
Practice Address - Phone:314-699-9383
Practice Address - Fax:314-699-9384
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR3C82204D00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO10141FOtherBLUE CROSS BLUE SHIELD OF
MO431633368-005OtherCIGNA NUMBER
MOA12420OtherMERCY HEALTH PLANS
MO4805900OtherUNITED HEALTHCARE NUMBER
MOBLC28594OtherBLUE CHOICE
MO41952OtherGROUP HEALTH NUMBER
MO5105614OtherAETNA NUMBER
MO101960OtherHEALTHLINK NUMBER
MOP00028674OtherRAILROAD RETIREMENT NUMBE
MOP00028674OtherRAILROAD RETIREMENT NUMBE
MO000007399Medicare ID - Type UnspecifiedMEDICARE NUMBER