TRACI LEE DYER (NPI# 1376820266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376820266 |
| Entity Type | Individual |
| Full Name | TRACI LEE DYER |
| Credential | PA |
| Practice Address |
29798 Haun Rd Ste 108 Sun City CA 92586-6541 |
| Mailing Address |
28853 Galaxy Way Sun City CA 92586-3869 |
| Practice Telephone | 9513019339 |
| Practice Fax Number | 9513013980 |
| Mailing Telephone | 9518526653 |
| Mailing Fax Number | 9513013980 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
19684 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
29798 HAUN RD STE 108 |
| City | SUN CITY |
| State | CA |
| Zip Code | 92586-6541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053586800 | Binoy Govindbhai Patel | Physical Therapist | 29798 Haun Rd Ste 201, Menifee, CA 92586 | 2008-04-23 |
| 1164552667 | Diana Suzanne Koenen | Marriage & Family Therapist | Sun Plaza Business Center, 27851 Bradley Rd, Suite 103, Menifee, CA 92586 | 2007-03-06 |
| 1972654804 | Mike Johnson | Specialist | 26916 Cherry Hills Boulevard, Sun City, CA 92586 | 2007-01-16 |
| 1932256849 | Mandana Mirshahzadeh | Nurse Practitioner | 26926 Cherry Hills Blvd Ste B, Menifee, CA 92586 | 2007-01-04 |
| 1184709248 | Technomed Homecare Inc | Durable Medical Equipment & Medical Supplies | 27188 Sun City Blvd, Sun City, CA 92586 | 2006-10-26 |
| 1922193754 | Minh Pham | Dentist | 29950 Haun Rd, Ste 302, Sun City, CA 92586 | 2006-10-04 |
| 1598739203 | Kevin Khuong Nguyen | Family Medicine | 29798 Haun Road, Suite 203, Menifee, CA 92586 | 2006-02-17 |
| 1831199728 | Duane Ray Darnell | Internal Medicine | 27994 Bradley Rd, Ste F, Sun City, CA 92586 | 2005-07-21 |
| 1417445040 | Blair N Kluth | Behavioral Analyst | 27070 Sun City Blvd, Menifee, CA 92586 | 2018-04-30 |
| 1043723869 | New Hope Rx Pharmacy, Inc | Pharmacy | 29798 Haun Rd Ste 100, Menifee, CA 92586 | 2017-11-15 |
| Find all providers in zip 92586 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700054335 | Christina Lorraine Wooldridge | Physician Assistant | 10494 W Thunderbird Boulevard, Suite 102, Sun City, AZ 85351-6122 | 2008-02-17 |
| 1730230814 | Larry P Fisher | Physician Assistant | 17021 N Joshua Tree Ct, Sun City, AZ 85373-1816 | 2007-01-15 |
| 1720482912 | Philip Jordan Ristvedt | Physician Assistant | 10503 W Thunderbird Blvd, Ste 262, Sun City, AZ 85351-3048 | 2014-10-16 |
| 1609203611 | Robert William Wagie | Physician Assistant | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2013-10-04 |
| 1699026435 | David Lepley | Physician Assistant | 10249 W Thunderbird Blvd Ste 300, Sun City, AZ 85351-3113 | 2012-09-19 |
| 1447536180 | Terrie Lyn Pasch | Physician Assistant | 13203 N 103rd Ave Ste H5, Sun City, AZ 85351-3032 | 2011-10-26 |
| 1982907291 | Sun Cities Medical Group | Physician Assistant | 10222 W Coggins Dr, Sun City, AZ 85351-3407 | 2010-12-08 |
| 1902116965 | Mara Lee Hall | Physician Assistant | 10503 W Thunderbird Blvd, Ste 262, Sun City, AZ 85351-3048 | 2010-10-08 |
| 1740388370 | Elena Nicola | Physician Assistant | 29798 Haun Rd, Suite 104, Sun City, CA 92586-6541 | 2006-09-20 |
| 1346263316 | Ruben Ramirez | Physician Assistant | 10494 W Thunderbird Blvd, Sun City, AZ 85351-3058 | 2006-07-25 |
| Find all providers in SUN CITY | ||||
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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.