DR. EVERETT BRANTLEY DYER (NPI# 1184654030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184654030 |
| Entity Type | Individual |
| Full Name | DR. EVERETT BRANTLEY DYER |
| Credential | M.D |
| Practice Address |
3427 Robin Ln Suite 100 Cameron Park CA 95682-7254 |
| Mailing Address |
3400 Data Dr Physician Support Services Rancho Cordova CA 95670-7956 |
| Practice Telephone | 5306767337 |
| Practice Fax Number | 5306766644 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2014-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G65725 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE # | 00G657250 | 01 |
| CA | DEA # | BD3056896 | 01 |
| Street Address |
3427 ROBIN LN SUITE 100 |
| City | CAMERON PARK |
| State | CA |
| Zip Code | 95682-7254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073829636 | Mercy Medical Group | Non-Pharmacy Dispensing Site | 3427 Robin Ln, 100, Cameron Park, CA 95682-7254 | 2010-08-20 |
| 1922336296 | Dignity Health Medical Foundation | Clinic/Center | 3427 Robin Ln, Suite 100, Cameron Park, CA 95682-7255 | 2009-11-25 |
| 1922238542 | Chw Medical Foundation | Clinic/Center | 3427 Robin Ln, Suite 100, Cameron Park, CA 95682-7254 | 2009-07-16 |
| 1225285133 | Ruslan Khabatyuk | Physician Assistant | 3427 Robin Ln, Suite 100, Cameron Park, CA 95682-7254 | 2008-08-21 |
| 1912077868 | Wendy Zilch Dyer | Internal Medicine | 3427 Robin Ln, Cameron Park, CA 95682-7254 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003225681 | Breanna Canclini | Occupational Therapist | 2690 Hillcrest Dr, Cameron Park, CA 95682 | 2014-08-07 |
| 1497030852 | Bullards Dialysis LLC | Clinic/Center | 3311 Coach Ln Ste C, Cameron Park, CA 95682 | 2011-10-18 |
| 1417265786 | George Waite Weilepp | Orthopaedic Surgery | 4880 Maggie Court, Shingle Springs, CA 95682 | 2010-09-20 |
| 1831417757 | Maisha Michelle Correia | Psychiatry & Neurology | 3581 Palmer Dr Ste 202, Cameron Park, CA 95682 | 2010-05-17 |
| 1043466212 | Richard Joseph Sommerdyke | Dentist | 4200 Mother Lode Dr, Suite A, Shingle Springs, CA 95682 | 2008-08-07 |
| 1912120189 | Robert L Catron | Dentist | 3350 Coach Ln, Cameron Park, CA 95682 | 2007-04-10 |
| 1154457083 | Leslie Joan Hill-sokol | Marriage & Family Therapist | 3330 Heights Dr Ste 120, Cameron Park, CA 95682 | 2007-02-26 |
| 1114082765 | Torrey R Hammond | Dentist | 970 Camerado Drive, Ste 100, Cameron Park, CA 95682 | 2006-12-26 |
| 1659431062 | Petrice Foxworthy | Chiropractor | 3370 Country Club Dr., Cameron Park, CA 95682 | 2006-12-08 |
| 1346310570 | Lorin G Farr | Chiropractor | 3091 Alhambra Dr, Ste A, Cameron Park, CA 95682 | 2006-11-08 |
| Find all providers in zip 95682 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306916242 | Elaine Angela Barrios | Pediatrics | 3427 Robin Ln Ste 100, Cameron Park, CA 95682-7255 | 2006-11-08 |
| 1194881763 | Maria Ann Raslear | Pediatrics | 3581 Palmer Dr, Ste. 401, Cameron Park, CA 95682-8236 | 2006-12-28 |
| 1487739942 | Cameron Park Medical Group | Pediatrics | 3581 Palmer Dr, Ste. 401, Cameron Park, CA 95682-8236 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879099 | Dr Sameh Elamir Md PC | Pediatrics | 1834 W Lincoln Ave Ste R, Anaheim, CA 92801-5425 | 2020-10-17 |
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
| City | CAMERON PARK |
| Zip Code | 95682 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.