Active NPI
Joseph Eugene Dyer, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Clarksville, TN
National Provider Identifier
1003166935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- R1C36
- Practice address
- 2443 Widgeon Dr
Clarksville, TN 37042-8509 - Phone
- (931) 648-2385
- NPI assigned
- Sep 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | R1C36 | MO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R1C36 | MO | Primary |
Addresses
Primary practice location
2443 Widgeon Dr
Clarksville, TN 37042-8509
Mailing address
PO Box 30431
Clarksville, TN 37040-0008
Phone (931) 648-2385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1C36 | MO | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1003166935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30431",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370400008",
"telephone_number": "931-648-2385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2443 WIDGEON DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370428509",
"telephone_number": "931-648-2385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "JOSEPH",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "MO",
"license": "R1C36",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "R1C36",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.