Active NPI
Justin Christopher Dyer, M.D.
- Emergency Medicine Physician
- Bloomington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 73779
- Practice address
- 4300 Marketpointe Dr Ste 100
Bloomington, MN 55435 - Phone
- (952) 835-9880
- Fax
- (952) 835-9880
- NPI assigned
- Jul 16, 2008
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 73779 | WI | Primary |
| Emergency Medicine Physician | 207P00000X | 53878 | MN |
Addresses
Primary practice location
4300 Marketpointe Dr Ste 100
Bloomington, MN 55435
Mailing address
4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435
Phone (952) 835-9880
Other practice location 1
402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110818000887 | MN | Practitioner - Emergency Medicine | 8426228941 | Reassigns benefits to 2 organizations |
| I20201015000835 | WI | Practitioner - Emergency Medicine | 8426228941 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Elizabeths Hospital of Wabasha IncTri-County Memorial Hospital Inc
Practice addresses (Care Compare)
1200 Grant Blvd W
Wabasha, MN 55981-1042
Phone (651) 565-4531
18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361
Hospital & facility affiliations
- Gundersen Tri-County Hospital & Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53878 | MN | MD | Emergency Medicine Physician |
| 73779 | WI | MD | Emergency Medicine Physician |
Practice roles
Locations
1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531
1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600
205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
3111 Gundersen Dr
Onalaska, WI 54650
Phone (608) 775-8100
505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181
501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712
Interoperability endpoints
- jdyer473599@direct.emplifyhealth.org
Organizations & group practices 27
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Friendship, WI
- NPI 1710939533
WI
-
- Community/Retail Pharmacy
- Wabasha, MN
- NPI 1912334913
-
- Home Health Agency
- Wabasha, MN
- NPI 1053346825
-
- Skilled Nursing Facility
- Wabasha, MN
- NPI 1306864939
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1962666271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 MARKETPOINTE DR STE 100",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554355435",
"telephone_number": "952-835-9880",
"fax_number": "952-835-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 MARKETPOINTE DR STE 100",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55435",
"telephone_number": "952-835-9880",
"fax_number": "952-835-9880"
}
],
"practiceLocations": [
{
"address_1": "402 W Lake St",
"address_purpose": "LOCATION",
"city": "Friendship",
"state": "WI",
"postal_code": "539349699",
"country_code": "US",
"telephone_number": "608-339-3331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYER",
"first_name": "JUSTIN",
"middle_name": "CHRISTOPHER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-16",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "73779",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "53878",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.