MYLES LAYNE MOWERY DO MBA NPI 1952982977

NPI Information

  • NPI: 1952982977
  • Provider Name: MYLES LAYNE MOWERY, DO, MBA
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3246 NORTH EVERGREEN DR NE
    GRAND RAPIDS, MI
    ZIP 49525
  • Phone: (616) 459-7225

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NPI Details

Myles Layne Mowery, DO, MBA is a diagnostic radiology radiology in Grand Rapids, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Myles Layne Mowery, DO, MBA NPI is 1952982977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3246 NORTH EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 459-7225
Fax: (164) 597-2716

The NPI 1952982977 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2021 and was last updated on 6/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional Radiology5151015205MICHIGANNo
2208600000XSurgery5151015205MICHIGANNo
32085R0202XRadiologyDiagnostic Radiology5151015205MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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