DREYER MEDICAL GROUP, LTD (NPI# 1891738654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891738654 |
| Entity Type | Organization |
| Organization Name | DREYER MEDICAL GROUP, LTD |
| Practice Address |
1870 W Galena Blvd Aurora IL 60506-4356 |
| Mailing Address |
2357 Sequoia Dr Aurora IL 60506-6222 |
| Practice Telephone | 6308596700 |
| Mailing Telephone | 6308596800 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2015-12-03 |
| Authorized Official Name | MRS. SUZANNE M. ROSALES (CFO - CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6309073944 |
| Is Organization Subpart | Y |
| Parent Organization Name | DREYER CLINIC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
42007794 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD PROVIDER # | 04515143 | 01 |
| Street Address |
1870 W GALENA BLVD |
| City | AURORA |
| State | IL |
| Zip Code | 60506-4356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689661803 | Rosalyn S Padiyara | Pharmacist | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2005-10-03 |
| 1245636232 | Mary Sunde | Specialist/Technologist | 1870 W Galena Blvd, Physical Therapy, Aurora, IL 60506-4356 | 2014-11-18 |
| 1376787838 | Christopher A Lading | Speech-Language Pathologist | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2009-04-28 |
| 1306090303 | Cynthia D. Hildner | Speech-Language Pathologist | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-11-05 |
| 1841449451 | Padmaja Gutti | Psychiatry & Neurology | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-09-18 |
| 1922268812 | Betsy J Bennet | Internal Medicine | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-06-13 |
| 1659558203 | Saba Sharif | Allergy & Immunology | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-01-25 |
| 1518141365 | Michael James Radtke | Allergy & Immunology | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2007-12-27 |
| 1083897888 | Vivien T Ho | Family Medicine | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2007-12-14 |
| 1245422773 | Kara N Roman | Physician Assistant | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2007-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| Find all providers in zip 60506 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205214681 | Laura Thomas | Clinic/Center | 23662 E Briarwood Dr, Aurora, CO 80016-2647 | 2015-05-18 |
| 1285050112 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 15235 E 38th Ave, Aurora, CO 80011-1239 | 2014-03-17 |
| 1982641791 | The Duluth Clinic, Ltd | Clinic/Center | 405 W 3rd Ave N, Box 392, Aurora, MN 55705-1247 | 2006-06-01 |
| 1982201877 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Clinic/Center | 1300 S Sable Blvd, Aurora, CO 80012-4631 | 2020-10-05 |
| 1720646250 | Allpria Healthcare | Clinic/Center | 10700 E Bethany Dr Ste 104, Aurora, CO 80014-2625 | 2019-05-30 |
| 1316445133 | University Physicians Incorporated | Clinic/Center | 1635 Aurora Court, 4th & 6th Floors, Aurora, CO 80045-2541 | 2018-01-26 |
| 1730698382 | University Physicians Incorporated | Clinic/Center | 5001 S Parker Rd Ste 215, Aurora, CO 80015-1183 | 2017-09-27 |
| 1023527660 | University Physicians, Incorporated | Clinic/Center | 12348 E Montview Blvd, Aurora, CO 80045-7103 | 2017-09-27 |
| 1811342876 | Dreyer Clinic Inc | Clinic/Center | 2285 Sequoia Dr, Aurora, IL 60506-6209 | 2016-04-27 |
| 1740648187 | Rodrigo D. Rodriguez | Clinic/Center | 1573 S Catawba Cir, Aurora, CO 80018-6012 | 2016-01-31 |
| Find all providers in AURORA | ||||
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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.