MR. ERIC W DYER (NPI# 1467468041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467468041 |
| Entity Type | Individual |
| Full Name | MR. ERIC W DYER |
| Credential | PA-C |
| Practice Address |
902 N Howe St Southport NC 28461-3038 |
| Mailing Address |
Po Box 63384 Charlotte NC 28263-3384 |
| Practice Telephone | 9104574789 |
| Practice Fax Number | 9104575824 |
| Mailing Telephone | 9104574789 |
| Mailing Fax Number | 9104575824 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001000320 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200111 | Eric Dyer | Occupational Therapist | 2412 Knob Creek Rd, Johnson City, TN 37604-2586 | 2018-10-07 |
| 1316289192 | Eric Dyer | Physician Assistant | 4480 Highway 101 Ste G, Florence, OR 97439-8831 | 2013-03-20 |
| Street Address |
902 N HOWE ST |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876788 | Mark D Foster | Orthopaedic Surgery | 902 N Howe St, Southport, NC 28461-3038 | 2005-07-29 |
| 1649627126 | Emergeortho, Pa | Orthopaedic Surgery | 902 N Howe St, Southport, NC 28461-3038 | 2016-05-16 |
| 1356733513 | Elizabeth Bee Owen | Physician Assistant | 902 N Howe St, Southport, NC 28461-3038 | 2015-02-25 |
| 1144582339 | Michelle Lee Phillips | Physical Therapist | 902 N Howe St, Southport, NC 28461-3038 | 2012-06-13 |
| 1740440569 | Micah Gregory Merritt | Physical Therapist | 902 N Howe St, Southport, NC 28461-3038 | 2008-06-16 |
| 1710165550 | John B Mcelhinney | Physician Assistant | 902 N Howe St, Southport, NC 28461-3038 | 2008-02-04 |
| 1265570469 | Thomas B. Kelso II | Orthopaedic Surgery | 902 N Howe St, Southport, NC 28461-3038 | 2007-02-01 |
| 1447306139 | Brittiany L Allen | Physical Therapist | 902 N Howe St, Southport, NC 28461-3038 | 2007-01-26 |
| 1386730521 | Ashley Pace Harrington | Physical Therapist | 902 N Howe St, Southport, NC 28461-3038 | 2006-10-05 |
| 1609882158 | Gary E Welliver | Orthopaedic Surgery | 902 N Howe St, Southport, NC 28461-3038 | 2006-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| Find all providers in zip 28461 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356733513 | Elizabeth Bee Owen | Physician Assistant | 902 N Howe St, Southport, NC 28461-3038 | 2015-02-25 |
| 1790114114 | Amy Lynn Burger | Physician Assistant | 924 N Howe St, Southport, NC 28461-3038 | 2013-11-06 |
| 1518203017 | Mollie O'mara Lindholm | Physician Assistant | 4734 Long Beach Rd Se, Southport, NC 28461-8721 | 2013-01-02 |
| 1710165550 | John B Mcelhinney | Physician Assistant | 902 N Howe St, Southport, NC 28461-3038 | 2008-02-04 |
| 1316124845 | John Delamar Schoonmaker | Physician Assistant | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
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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.