Provider Demographics
NPI:1295095842
Name:MYERS, JON CHRISTOPHER (DO)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:CHRISTOPHER
Last Name:MYERS
Suffix:
Gender:
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1218 S BROADWAY STE 310
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2759
Mailing Address - Country:US
Mailing Address - Phone:859-219-0542
Mailing Address - Fax:859-219-9433
Practice Address - Street 1:1901 TATE SPRINGS RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1109
Practice Address - Country:US
Practice Address - Phone:434-200-5047
Practice Address - Fax:434-200-6490
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY040612085R0202X
NC3185702085R0202X
SC901042085R0202X
NJ25MB122786002085R0202X
VA01022081832085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100470140Medicaid