Provider Demographics
NPI:1780671784
Name:MYERS, FRANKLIN J III (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:J
Last Name:MYERS
Suffix:III
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 1:1631 N FRONT ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102-2435
Mailing Address - Country:US
Mailing Address - Phone:717-234-2561
Mailing Address - Fax:717-236-1121
Practice Address - Street 1:1631 N FRONT ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102-2435
Practice Address - Country:US
Practice Address - Phone:717-234-2561
Practice Address - Fax:717-236-1121
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD012697E207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007772000001Medicaid
PA024490D7MMedicare ID - Type Unspecified
PA0007772000001Medicaid