Dale Lowell Syverson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G87246 Issued in CA

Practice address

1825 Main Street
Susanville, CA 96130

Phone

(530) 252-4115

Fax

(530) 252-4117

NPI assigned

Nov 9, 2006

Last updated

Aug 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Colorectal Surgery (Proctology)

Education

University of Minnesota Medical School, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Last Frontier Healthcare DistrictGroup PAC ID 2466447412, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mayers Memorial Hospital Hospital, Fall River Mills, CA, CCN 051305
• Modoc Medical Center Hospital, Alturas, CA, CCN 051330

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  Medicare reassignment Care Compare group
• Mayers Memorial Hospital District

  • Critical Access Hospital
  • Fall River Mills, CA
  • NPI 1912125667
  Medicare reassignment

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

• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  Care Compare affiliation
• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Rural Health Clinic/Center
  • Alturas, CA
  • NPI 1487764064

  Hospital

  Care Compare affiliation
• Mayers Memorial Hospital District

  • Critical Access Hospital
  • Fall River Mills, CA
  • NPI 1912125667
  Care Compare affiliation

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1841360591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MAIN ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304518",
            "telephone_number": "530-252-4115",
            "fax_number": "530-252-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MAIN STREET",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "96130",
            "telephone_number": "530-252-4115",
            "fax_number": "530-252-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYVERSON",
        "first_name": "DALE",
        "middle_name": "LOWELL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G87246",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G87246",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G6872460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susanville Hospital Company LLC (Lassen Regional Medical Center)
• Susanville Hospital Company LLC (Lassen Regional Medical Center)
• Susanville Indian Rancheria (Lassen Indian Health Center)
• Susanville Limited Partnership (Eagle Lake Village)
• Susanville Therapy Athletic Rehabilitation
• David Tabari, PHARMD
• Kristine Anne Talavera, LCSW
• Steve Tank, RN
• Susan A. Taylor, PA
• Tech to Treat LLC

• Surgery Physician in Susanville, CA
• Providers in Susanville, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.

Verify at the official NPI Registry.