JEFFREY J. DYER (NPI# 1588651301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588651301 |
| Entity Type | Individual |
| Full Name | JEFFREY J. DYER |
| Credential | M.D. |
| Practice Address |
6950 E Chauncey Ln Suite 100 Phoenix AZ 85054-5155 |
| Practice Telephone | 4805383200 |
| Practice Fax Number | 4805383210 |
| Mailing Telephone | 4805383200 |
| Mailing Fax Number | 4805383210 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2009-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
26487 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHIELD | AZ0779390 | 01 |
| AZ | 433417 | 05 | |
| AZ | MEDICARE RAILROAD | P00042703 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093939381 | Jeffrey N Dyer | Physical Therapist | 569 Skyline Drive, 100, Jackson, TN 38301 | 2007-04-11 |
| 1023127289 | Jeffrey William Dyer | Counselor | 1900 N 30th St, Mount Vernon, WA 98273-8914 | 2006-08-30 |
| 1649215260 | Jeffrey J. Dyer | Family Medicine | 2953 Telegraph Rd, Ventura, CA 93003-3214 | 2006-06-18 |
| Street Address |
6950 E CHAUNCEY LN SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85054-5155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770576241 | Michelle Renee Kuhn | Physician Assistant | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2005-08-30 |
| 1942672795 | Elise Furmanski | Physician Assistant | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2015-10-20 |
| 1477956563 | Christopher M Bero | Physician Assistant | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2014-10-02 |
| 1598105140 | Justin Michael Head | Orthopaedic Surgery | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2013-06-27 |
| 1699021048 | Lisa Cathleen Huston | Audiologist-Hearing Aid Fitter | 6950 E Chauncey Ln, Suite 100, Phoenix, AZ 85054-5178 | 2012-08-02 |
| 1790044204 | Joshua S Silver | Orthopaedic Surgery | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2012-05-04 |
| 1780894949 | Lige M Kaplan | Orthopaedic Surgery | 6950 E Chauncey Ln, Phoenix, AZ 85054-5178 | 2007-05-23 |
| 1346465010 | Timothy Michael Bert | Orthopaedic Surgery | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2007-04-16 |
| 1497880504 | Entegrity Ear, Nose and Throat Specialists, PC | Specialist | 6950 E Chauncey Ln, Suite 100, Phoenix, AZ 85054-5155 | 2007-02-22 |
| 1336243518 | Kari L Mau | Nurse Practitioner | 6950 E Chauncey Ln, Amomi/scottsdale Perinatal Associates, Phoenix, AZ 85054-5178 | 2006-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255301 | Stephanie Gamber | Registered Nurse | 5405 East Pinnacle Vista Drive, Phoenix, AZ 85054 | 2016-10-10 |
| 1508231960 | Deborah Elam | Acupuncturist | 5777 East Mayo Boulevard Mayo Clinic, Phoenix, AZ 85054 | 2015-12-09 |
| 1811176860 | Desert Ridge Pediatric Dentistry | Clinic/Center | 5315 E. High Street, Suite 115, Phoenix, AZ 85054 | 2007-10-26 |
| 1902968639 | Ryan David Schulze | Chiropractor | 7000 E Mayo Blvd Ste 1058, Phoenix, AZ 85054 | 2006-12-16 |
| 1477517423 | Gary Betz II Md PC | Internal Medicine | 7010 E. Chauncey Lane, Suite 145, Phoenix, AZ 85054 | 2006-04-14 |
| 1689658395 | Alice G Mccormick | Internal Medicine | 5450 East Deer Valley Drive Unit 3206, Phoenix, AZ 85054 | 2005-12-06 |
| 1609869981 | Jeffrey Alan Smith | Optometrist | 18325 N Allied Way Ste 100, Phoenix, AZ 85054 | 2005-08-23 |
| 1043219389 | Hasan Khamash | Internal Medicine | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2005-07-19 |
| 1497753750 | Rajeev Agarwal | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2005-07-11 |
| 1740283878 | Charles J Manak | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054 | 2005-05-23 |
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| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922126085 | Arizona Head Neck & Facial Surgery Ltd | Otolaryngology | 1515 N 9th Street, Suite B, Phoenix, AZ 85006 | 2007-03-27 |
| 1679801526 | Richard Besserman | Otolaryngology | 3104 E Camelback Rd, #107, Phoenix, AZ 85016-4502 | 2009-12-03 |
| 1578550398 | Don B. Headley | Otolaryngology | 500 W Thomas Rd, Suite 900, Phoenix, AZ 85013-4224 | 2005-10-06 |
| 1467449298 | Entegrity Ear Nose & Throat Specialists PC | Otolaryngology | 11209 N Tatum Blvd, Suite 275, Phoenix, AZ 85028-3091 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508111048 | Burton E Weissman | Otolaryngology | 6736 N 60th St, Paradise Valley, AZ 85253-3414 | 2012-07-20 |
| 1053575167 | A Sultan Lalani M D Ltd | Otolaryngology | 2175 S Avenue A Ste B, Yuma, AZ 85364-8458 | 2008-07-17 |
| 1508065160 | Brian Trainor, Do, Pllc | Otolaryngology | 3501 N Scottsdale Rd Ste 142, Scottsdale, AZ 85251-5632 | 2007-07-13 |
| 1427519255 | Daniela Ann Brake | Otolaryngology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2019-03-26 |
| 1619449303 | Taylor Cave | Otolaryngology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2018-12-19 |
| 1396912911 | Samuel Steven Bailey | Otolaryngology | 20201 N Scottsdale Healthcare Dr, Ste 230, Scottsdale, AZ 85255-4134 | 2008-05-13 |
| 1518186956 | David A Hecht Md PC | Otolaryngology | 20201 N Scottsdale Healthcare Dr, Suite 250, Scottsdale, AZ 85255-4134 | 2007-04-24 |
| 1699896027 | Tracey Knott | Otolaryngology | 3420 S Mercy Rd, Suite 107, Gilbert, AZ 85297-0419 | 2007-04-03 |
| 1710014410 | Enticare PC | Otolaryngology | 3420 S Mercy Rd, Ste 107, Gilbert, AZ 85297-0419 | 2007-02-28 |
| 1174551014 | James Michael Reidy | Otolaryngology | 2680 S Val Vista Dr, Bldg 13, Unit 175, Gilbert, AZ 85295-2152 | 2006-06-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.