NPIMap

Individual provider Active NPI

Paul Dean Kyer III, MD

  • Surgery Physician
  • So Charleston, WV
National Provider Identifier
1063461895
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
19792 Issued in WV
Practice address
414 Greenway Ave
Ste 100
So Charleston, WV 25309
Phone
(304) 766-4444
Fax
(304) 766-4447
NPI assigned
May 9, 2006
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 19792 WV Primary

Addresses

Primary practice location

414 Greenway Ave
Ste 100
So Charleston, WV 25309

Mailing address

414 Greenway Ave
Ste 100
So Charleston, WV 25309
Phone (304) 766-4444

Other identifiers 1

IdentifierTypeStateIssuer
5600067000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000075 WV Practitioner - General PracticePractitioner - Vascular Surgery 8628004488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Vascular Surgery
Education
West Virginia University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

414 Greenway Ave
Suite 100
South Charleston, WV 25309-1475
Phone (304) 766-4444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy47
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Kyer MD, PLLC CurrentSince Mar 23, 2013 Accepting new patients
Logan General Hospital LLC Past Accepting new patients

Locations

414 Greenway Ave
Ste 100
South Charleston, WV 25309
Phone (304) 766-4444

Interoperability endpoints

  • Direct secure messaging: paul.kyer.1@16271.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1063461895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 GREENWAY AVE",
            "address_2": "STE 100",
            "city": "SO CHARLESTON",
            "state": "WV",
            "postal_code": "25309",
            "telephone_number": "304-766-4444",
            "fax_number": "304-766-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 GREENWAY AVE",
            "address_2": "STE 100",
            "city": "SO CHARLESTON",
            "state": "WV",
            "postal_code": "25309",
            "telephone_number": "304-766-4444",
            "fax_number": "304-766-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYER",
        "first_name": "PAUL",
        "middle_name": "DEAN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "19792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5600067000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in So Charleston, WV

Sources for this page

Verify at the official NPI Registry.