Active NPI
Laura E Dyer, MD
- Geriatric Medicine (Family Medicine) Physician
- Huntsville, AL
National Provider Identifier
1710935440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 22942
- Practice address
- 3007 Memorial Pkwy SW
Huntsville, AL 35801-5393 - Phone
- (256) 799-2500
- Fax
- (256) 799-2519
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 00022942 | AL | |
| Family Medicine Physician | 207Q00000X | 057362 | GA | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 22942 | AL | Primary |
Addresses
Primary practice location
3007 Memorial Pkwy SW
Huntsville, AL 35801-5393
Mailing address
4845 Cove Creek Dr SE
Brownsboro, AL 35741-9322
Phone (256) 536-5635
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051532984 | Other | AL | BCBS |
| 051532984 | Medicaid | AL | |
| 7914397 | Other | AL | AETNA |
| 051532984 | Other | AL | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050323000416 | AL | Practitioner - Family Practice | 8527014521 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00022942 | AL | MD | Emergency Medicine Physician |
| 057362 | GA | MD | Family Medicine Physician |
| 22942 | AL | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1710935440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4845 COVE CREEK DR SE",
"city": "BROWNSBORO",
"state": "AL",
"postal_code": "357419322",
"telephone_number": "256-536-5635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 MEMORIAL PKWY SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015393",
"telephone_number": "256-799-2500",
"fax_number": "256-799-2519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "LAURA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "00022942",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "057362",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "AL",
"license": "22942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051532984",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051532984",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7914397",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "051532984",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.