Provider Demographics
NPI:1396772463
Name:MYERS, SARA ANN (MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ANN
Last Name:MYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3171 NE CARNEGIE DR STE A
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-3226
Mailing Address - Country:US
Mailing Address - Phone:816-525-2800
Mailing Address - Fax:816-525-4077
Practice Address - Street 1:3171 NE CARNEGIE DR STE A
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-3226
Practice Address - Country:US
Practice Address - Phone:816-525-2800
Practice Address - Fax:816-525-4077
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008019345208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5N304Medicare ID - Type Unspecified
ARI40910Medicare UPIN
AR5N304F430Medicare PIN
AR5N304OtherAR BC/BS