Organization Active NPI

Donna Dyer DO Inc

  • Health Service Clinic/Center
  • Stuart, FL
National Provider Identifier
1063457570
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
OS8635 Issued in FL
Legal business name
DONNA DYER DO INC
Practice address
611 SW Federal Hwy
Suite E
Stuart, FL 34994-2925
Phone
(772) 286-4045
Fax
(772) 286-4051
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Donna Dyer, D.O.
Title
President
Phone
(772) 286-4045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X OS8635 FL Primary

Addresses

Primary practice location

611 SW Federal Hwy
Suite E
Stuart, FL 34994-2925

Mailing address

611 SW Federal Hwy
Suite E
Stuart, FL 34994-2925
Phone (772) 286-4045

National Provider Directory

National Provider Directory

Locations

433 SE Ocean Blvd
Stuart, FL 34994
Phone (772) 223-4504

611 SW Federal Hwy
Ste E
Stuart, FL 34994
Phone (772) 286-4045

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1063457570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SW FEDERAL HWY",
            "address_2": "SUITE E",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942925",
            "telephone_number": "772-286-4045",
            "fax_number": "772-286-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SW FEDERAL HWY",
            "address_2": "SUITE E",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942925",
            "telephone_number": "772-286-4045",
            "fax_number": "772-286-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA DYER DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-286-4045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "OS8635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.