Active NPI
Eric Dyer, PA-C
- Physician Assistant
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA56688
- Practice address
- 3801 Sacramento St Ste 300
San Francisco, CA 94118-1625 - Phone
- (415) 641-2198
- Fax
- (415) 865-4189
- NPI assigned
- Mar 20, 2013
- Last updated
- Apr 9, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA173036 | OR | |
| Physician Assistant | 363A00000X | PA56688 | CA | Primary |
Addresses
Primary practice location
3801 Sacramento St Ste 300
San Francisco, CA 94118-1625
Mailing address
1292 High St Ste 224
Eugene, OR 97401-3238
Phone (541) 500-2500
Other practice location 1
4480 Highway 101 Ste G
Florence, OR 97439-8831
Phone (541) 640-7625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA56688 | Other | CA | STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Good Samaritan Hospital Association
Practice addresses (Care Compare)
11355 SW Scholls Ferry Rd
Beaverton, OR 97008-7167
Phone (864) 664-3984
2975 Hwy 2 E
Rugby, ND 58368-7801
Phone (701) 776-5261
301 Roosevelt Ave
Maddock, ND 58348-7138
Phone (701) 438-2555
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 74.27
- Improvement activities
- 40
- Cost
- 63.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA56688 | CA | MD | Physician Assistant |
| PA173036 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Networks on Demand, LLC | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Past | Accepting new patients | |
| Good Samaritan Hospital Association | Past | Accepting new patients | |
| True North Health Navigation LLC | Past | Accepting new patients |
Locations
11355 SW Scholls Ferry Rd
Beaverton, OR 97008
10221 SE Sunnyside Rd
Clackamas, OR 97015
2490 Willamette St
Ste 4
Eugene, OR 97405
Phone (541) 746-7671
2990 Commercial St SE
Ste 160
Salem, OR 97302
Interoperability endpoints
- edyer172128@direct.renown.org
- edyer419525@direct.peacehealth.org
- eric.dyer.2@30646.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba Zoom Management
- General Practice Physician
- Tigard, OR
- NPI 1023582178
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Family Medicine Physician
- Dunseith, ND
- NPI 1568633865
-
dba Dispatch Health
- Emergency Medicine Physician
- Denver, CO
- NPI 1740622133
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Heart of America Medical Center
- Critical Access Hospital
- Rugby, ND
- NPI 1437258969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1316289192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1292 HIGH ST STE 224",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013238",
"telephone_number": "541-500-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SACRAMENTO ST STE 300",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181625",
"telephone_number": "415-641-2198",
"fax_number": "415-865-4189"
}
],
"practiceLocations": [
{
"address_1": "4480 Highway 101 Ste G",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "OR",
"postal_code": "974398831",
"country_code": "US",
"telephone_number": "541-640-7625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYER",
"first_name": "ERIC",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-20",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA173036",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA56688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "PA56688",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.