TYLER ELLIOTT DIAL (NPI# 1689172868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689172868 |
| Entity Type | Individual |
| Full Name | TYLER ELLIOTT DIAL |
| Credential | PA-C |
| Practice Address |
923 W 3rd St Pembroke NC 28372-9628 |
| Mailing Address |
2002 N Cedar St Ste B Lumberton NC 28358-3926 |
| Practice Telephone | 9105210564 |
| Practice Fax Number | 9105218091 |
| Mailing Telephone | 9102723048 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-07818 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
923 W 3RD ST |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372-9628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794384 | James Earl West | Internal Medicine | 923 W 3rd St, Pembroke, NC 28372-9684 | 2005-07-18 |
| 1730559790 | Sean Buckley | Nurse Practitioner | 923 W 3rd St, Pembroke, NC 28372 | 2015-10-03 |
| 1104103779 | Christina O Mcmillan | Physical Therapist | 923 W 3rd St, Pembroke, NC 28372-9684 | 2011-11-10 |
| 1760769335 | Carol Locklear | Physical Therapy Assistant | 923 W 3rd St, Pembroke, NC 28372-9684 | 2011-11-10 |
| 1083991657 | Mallory Carter | Physical Therapy Assistant | 923 W 3rd St, Pembroke, NC 28372-9684 | 2011-11-10 |
| 1457637704 | Firsthealth of The Carolinas, Inc. | Clinic/Center | 923 W 3rd St, Firsthealth Center of Rehabilitation-pembroke, Pembroke, NC 28372-9684 | 2011-11-01 |
| 1740417906 | Toni Chagolla Oxendine | Internal Medicine | 923 W 3rd St, Pembroke, NC 28372-9628 | 2009-06-16 |
| 1215173059 | Shannon Leslie Hershberger | Physician Assistant | 923 W 3rd St, Pembroke, NC 28372-9628 | 2008-12-29 |
| 1003082769 | Trinity Urgent Care & Family Practice, Pllc | Clinic/Center | 923 W 3rd St, Suite A, Pembroke, NC 28372-9684 | 2008-05-02 |
| 1770650749 | Denene P. Smith | Nurse Practitioner | 923 W 3rd St, Pembroke, NC 28372-9628 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811464415 | Teresa Mariam Fatemi | Physician Assistant | 124 Pilgrim Rd, Pembroke, MA 02359-1940 | 2018-11-01 |
| 1477000735 | Elizabeth Locklear | Physician Assistant | 498 Whistling Rufus Rd, Pembroke, NC 28372-8380 | 2016-09-04 |
| 1578887568 | Coy Watkins | Physician Assistant | 244 Ledford St 1188, Pembroke, GA 31321-1188 | 2010-03-18 |
| 1205476165 | Kayla Jacobs | Physician Assistant | 812 Candy Park Rd, Pembroke, NC 28372-9120 | 2020-01-08 |
| 1902363153 | Karen Rose Betz | Physician Assistant | 102 Livermore Dr, Pembroke, NC 28372-7270 | 2019-02-25 |
| 1295180206 | Cari Susann Mayers | Physician Assistant | 307 E Wardell Dr, Pembroke, NC 28372 | 2016-04-27 |
| 1144609595 | Cynthia Anne Tranchemontagne | Physician Assistant | 121 Pembroke St, Pembroke, NH 03275-1311 | 2015-05-19 |
| 1669720736 | Kimberly Elizabeth Lennox | Physician Assistant | 28 Riverside Dr, Pembroke, MA 02359 | 2012-08-21 |
| 1467767053 | Suzette Renee Oxendine | Physician Assistant | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2010-08-09 |
| 1972833838 | Promptcare Clinic, Pllc | Physician Assistant | 201 Livermore Dr, Suite 1, Pembroke, NC 28372-7322 | 2009-12-28 |
| Find all providers in PEMBROKE | ||||
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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.