Provider Demographics
NPI:1841251634
Name:MYERS, LINDA LOUISE (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LOUISE
Last Name:MYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:LOUISE
Other - Last Name:BURKHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1504 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2417
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2170 NOLL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-7609
Practice Address - Country:US
Practice Address - Phone:717-393-3588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD048192L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1805015OtherUNITEDHEALTHCARE
PAF98275OtherHEALTHAMERICA
PA50054305OtherCAPITAL BLUE CROSS
PA24451OtherGEISINGER HEALTH PLAN
PA3005773OtherAETNA
PA815725OtherFIRST PRIORITY HEALTH
PA0015090350006Medicaid
PA601823OtherHIGHMARK BLUE SHIELD
PA601823OtherHIGHMARK BLUE SHIELD
F98275Medicare UPIN