Provider Demographics
NPI:1487691739
Name:MYERTHALL, STEVEN LLOYD (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:LLOYD
Last Name:MYERTHALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18444 N 25TH AVE
Mailing Address - Street 2:STE 310
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-1266
Mailing Address - Country:US
Mailing Address - Phone:623-537-5600
Mailing Address - Fax:866-939-2673
Practice Address - Street 1:3420 S MERCY RD STE 204
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-0423
Practice Address - Country:US
Practice Address - Phone:623-537-5600
Practice Address - Fax:866-939-2673
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29962207X00000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ749559Medicaid
AZ5550830006OtherMEDICARE NSC ANTHEM
AZ5550830003OtherMEDICARE NSC PEORIA
AZP00301273OtherRR MEDICARE
AZ5550830001OtherMEDICARE NSC SCW
AZ5550830007OtherMEDICARE NSC DV
AZ5550830004OtherMEDICARE NSC PV
AZ5550830009OtherMEDICARE NSC AZ NORTH
AZ5550830010OtherMEDICARE NSC GILBERT
AZ5550830008OtherMEDICARE NSC SWV
AZH62917Medicare UPIN
AZZ107861Medicare PIN