THEODORE C. DYER, M.D., P.A. (NPI# 1649397977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649397977 |
Entity Type | Organization |
Organization Name | THEODORE C. DYER, M.D., P.A. |
Practice Address |
1904 Pine St Suite 200 Abilene TX 79601-2449 |
Practice Telephone | 3256760557 |
Practice Fax Number | 8666731339 |
Mailing Telephone | 3256760557 |
Mailing Fax Number | 8666731339 |
Enumeration Date | 2007-03-23 |
Last Update Date | 2012-06-20 |
Authorized Official Name | DR. THEDORE C. DYER (PRESIDENT) |
Authorized Official Telephone | 3256760557 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
G2949 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 126206506 | 05 |
Street Address |
1904 PINE ST SUITE 200 |
City | ABILENE |
State | TX |
Zip Code | 79601-2449 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114922713 | Bopanna Muckatira | Internal Medicine | 1904 Pine St, Ste 1 E, Abilene, TX 79601-2449 | 2005-06-20 |
1023342532 | Abilene Kidney Clinic, P.a. | Internal Medicine | 1904 Pine St, Suite 4b, Abilene, TX 79601-2449 | 2009-09-30 |
1922250059 | Bopanna Muckatira Md, Pa | Internal Medicine | 1904 Pine St, 1 E, Abilene, TX 79601-2449 | 2008-10-21 |
1295916450 | Ryan Q. Green | Dentist | 1904 Pine St, Suite 1-d, Abilene, TX 79601-2449 | 2007-11-16 |
1720277437 | West Texas Lung Clinic Pa | Internal Medicine | 1904 Pine St, Ste. 4c, Abilene, TX 79601-2449 | 2007-10-18 |
1396961322 | Hendrick Provider Network | Family Medicine | 1904 Pine St, Suite 200, Abilene, TX 79601-2344 | 2007-04-18 |
1790864528 | Robert L Striegler | Internal Medicine | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2006-11-03 |
1730275041 | George Toby Williams | Internal Medicine | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2006-10-05 |
1508874918 | Neelima Ryali | Internal Medicine | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2006-08-03 |
1134155005 | Min Gao | Specialist | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2006-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
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Taxonomy Code | 207YP0228X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Pediatric Otolaryngology |
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740815950 | Yusif Hajiyev | Otolaryngology | 6701 Fannin St Ste 640.2, Houston, TX 77030-2608 | 2020-03-08 |
1548554645 | Continua Health Care Inc. | Otolaryngology | 926 Brooklyn Ave, San Antonio, TX 78215-1637 | 2011-06-06 |
1558522615 | Morgan Taylor Fordham Jr. | Otolaryngology | 333 N. Santa Rosa, Ste Ll, San Antonio, TX 78207 | 2008-06-21 |
1982876058 | Matthew Seth Sitton | Otolaryngology | 6701 Fannin St Ste 540, Houston, TX 77030-2608 | 2008-03-29 |
1700088739 | Ronald Jason Vilela | Otolaryngology | 6701 Fannin St Ste 640, Houston, TX 77030-2610 | 2007-06-01 |
1205891553 | Alan Douglas Murray | Otolaryngology | 783 N Denton Tap Rd, Suite 200, Coppell, TX 75019-2169 | 2006-04-19 |
1942265285 | Paul Wade Bauer | Otolaryngology | 783 N. Denton Tap Rd, Ste 200, Coppell, TX 75019 | 2006-04-19 |
1306807268 | William D Clark | Otolaryngology | 333 N Santa Rosa Street, Goldsbury Center Lower Level, San Antonio, TX 78207-3108 | 2006-03-30 |
1043270630 | Amy Cornelia Brenski | Otolaryngology | 11445 Dallas Pkwy Ste 240, Frisco, TX 75033-4254 | 2006-03-27 |
1376532929 | James Hao-yuang Liu | Otolaryngology | 17450 St Lukes Way, 200, The Woodlands, TX 77384-8044 | 2005-10-17 |
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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.