MR. EVAN PATRICK DYER (NPI# 1841626678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841626678 |
Entity Type | Individual |
Full Name | MR. EVAN PATRICK DYER |
Credential | PA-C |
Practice Address |
1415 Hillsboro Blvd Ste 106 Manchester TN 37355-2599 |
Mailing Address |
Po Box 1258 Waynesboro TN 38485-1258 |
Practice Telephone | 9319545605 |
Practice Fax Number | 9319545606 |
Mailing Telephone | 9312531110 |
Mailing Fax Number | 2566644280 |
Enumeration Date | 2013-09-25 |
Last Update Date | 2019-09-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2418 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1415 HILLSBORO BLVD STE 106 |
City | MANCHESTER |
State | TN |
Zip Code | 37355-2599 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992194526 | Meredith Myers Barnett | Nurse Practitioner | 1415 Hillsboro Blvd Ste 106, Manchester, TN 37355-2599 | 2015-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659857126 | Ashley Harmon Layne | Speech-Language Pathologist | 205 S Woodland St, Manchester, TN 37355 | 2018-07-17 |
1760996771 | Quad/med, LLC | Clinic/Center | 227 Monogard Rd, Manchester, TN 37355 | 2017-11-29 |
1881108157 | Sarabeth Seagreaves | Specialist/Technologist | 1700 Summer St Apt A36, Manchester, TN 37355 | 2017-11-25 |
1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
1316361561 | Charlotte Gibbs | Counselor | 482 Interstate Dr Ste D, Manchester, TN 37355 | 2014-02-08 |
1205258191 | Aleene Marie Falk | Social Worker | 218 Forrestwood Drive, Manchester, TN 37355 | 2014-01-10 |
1790067429 | Reda Lynn Lawson | Registered Nurse | 800 Parks Street, Manchester, TN 37355 | 2011-09-20 |
1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
1982761441 | Richard Eugene Fishbein | Orthopaedic Surgery | 102 East High Street, Manchester, TN 37355 | 2007-01-03 |
Find all providers in zip 37355 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356729487 | Kelsey Wood | Physician Assistant | 574 Middle Turnpike East, Kelsey Wood, Manchester, CT 06040-3730 | 2015-05-08 |
1528313350 | Stephanie Elaine Fangman | Physician Assistant | 709 W Main St Ste 3, Manchester, IA 52057-1526 | 2012-07-18 |
1932351673 | Michael Anthony Ascenzia | Physician Assistant | 360 Tolland Tpke Ste 1a, Manchester, CT 06042-1759 | 2008-10-14 |
1780747519 | Wendy Brown Jorgensen | Physician Assistant | 1053 Western Avenue, Manchester, ME 04351 | 2006-12-19 |
1770694945 | Briana Marie Peterson | Physician Assistant | 574 E Middle Tpke, Manchester, CT 06040-3730 | 2006-08-31 |
1245249010 | Holly Pelletier | Physician Assistant | 57 Webster St Ste 110, Manchester, NH 03104-2552 | 2006-08-07 |
1558396192 | Nancy E. Kalinski | Physician Assistant | 102 Bay St, Manchester, NH 03104-3008 | 2006-07-12 |
1790787323 | Paul Barlow | Physician Assistant | 1 Highlander Way Ste 4, Manchester, NH 03103-7404 | 2005-08-12 |
1669030177 | Alexis Deitz | Physician Assistant | 574 Middle Tpke E, Manchester, CT 06040-3730 | 2019-05-30 |
1083154926 | Kristen N Vautour | Physician Assistant | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2017-02-25 |
Find all providers in MANCHESTER |
City | MANCHESTER |
Zip Code | 37355 |
Please comment or provide details below to improve the information on MR. EVAN PATRICK DYER.
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.