Provider Demographics
NPI:1801821046
Name:MYERS, DINA KATHLEEN (DO)
Entity type:Individual
Prefix:DR
First Name:DINA
Middle Name:KATHLEEN
Last Name:MYERS
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 MARIGOLD LN
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-8504
Mailing Address - Country:US
Mailing Address - Phone:412-585-2024
Mailing Address - Fax:724-779-6431
Practice Address - Street 1:20130 PERRY HIGHWAY
Practice Address - Street 2:SUITE 1100
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-1606
Practice Address - Country:US
Practice Address - Phone:724-779-7400
Practice Address - Fax:724-779-7401
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-010010-L207Q00000X
PAOS-0100010-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018043490013Medicaid
PA052864Medicare PIN
PA0018043490013Medicaid