JOHN H MYRACLE MD
NPI 1871569046
Pediatrics in Advance, NC

Q: What is John Myracle's NPI number?

The NPI number for John Myracle is 1871569046. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is John Myracle's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for John Myracle was last updated on December 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 27, 2006

114 KINDERTON BLVD, ADVANCE, NC 27006(336) 998-9742(336) 998-9410 Get Directions Write a Review

NPPES record last updated: December 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John H Myracle Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN H MYRACLE MD (NPI 1871569046) is an individual pediatrics provider in Advance, North Carolina, licensed in North Carolina (22603) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1871569046

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJOHN H MYRACLECredential: MD

Location Address114 KINDERTON BLVDAdvance, NC 27006-7302

Mailing Address1701 Westchester Drive, Suite 850High Point, NC 27262-7254 · (336) 802-2536 · Fax (336) 802-2534

Phone(336) 998-9742

Fax(336) 998-9410

Sole ProprietorNo

Enumeration DateFebruary 27, 2006

Last NPPES UpdateDecember 28, 2012

✔ NPI 1871569046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 22603

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

114 KINDERTON BLVD, Advance, NC 27006

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Other Identifiers 3

Medicare UPIND92738

Medicare ID-Type Unspecified213069NC

Medicaid8961727NC

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAKE FOREST HEALTH NETWORK LLC

Pediatrics

114 KINDERTON BLVD
BERMUDA RUN, NC 27006

Davie County (336) 998-9742

CHRISTIAN CONNOR HALL C.P.N.P

Nurse Practitioner (Pediatrics)