Crystal J Dyer (NPI# 1053861609, PAC ID# 3476832189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053861609 |
| PAC ID by PECOS | 3476832189 |
| Professional Enrollment ID | I20161122000054 |
| Full Name | Crystal J Dyer |
| Organization Legal Name | MANZER FAMILY MEDICINE LLC |
| Address |
3071 S Grand Ave Carthage MO 64836-7851 |
| Phone Number | 4173584811 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628058013 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261338 | MERCY HOSPITAL CARTHAGE |
| Address | Phone | Organization |
|---|---|---|
| 3071 S Grand Ave, Carthage, MO 64836-7851 | 4173584811 | MANZER FAMILY MEDICINE LLC |
| 1605, K66 Suite A, Galena, KS 66739-4306 | 4173109286 | MANZER FAMILY MEDICINE LLC |
| Organization Legal Name | MANZER FAMILY MEDICINE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey Rawlins | Nurse Practitioner | Manzer Family Medicine LLC | 1605, K66 Suite A, Galena, KS 66739-4306 |
| Kristin D Wagner | Nurse Practitioner | Manzer Family Medicine LLC | 915 W Maple St, Columbus, KS 66725-1508 |
| Jonathan L Manzer | Family Medicine | Manzer Family Medicine LLC | 3071 S Grand Ave, Carthage, MO 64836-7851 |
| Carrie M Osiier | Nurse Practitioner | Manzer Family Medicine LLC | 3071 S Grand Ave, Carthage, MO 64836-7851 |
| Wendy M Mulder | Nurse Practitioner | Manzer Family Medicine LLC | 3071 S Grand Ave, Carthage, MO 64836-7851 |
| Street Address |
3071 S GRAND AVE |
| City | CARTHAGE |
| State | MO |
| Zip | 64836-7851 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan L Manzer | Family Medicine | Manzer Family Medicine LLC | 3071 S Grand Ave, Carthage, MO 64836-7851 |
| Carrie M Osiier | Nurse Practitioner | Manzer Family Medicine LLC | 3071 S Grand Ave, Carthage, MO 64836-7851 |
| Wendy M Mulder | Nurse Practitioner | Manzer Family Medicine LLC | 3071 S Grand Ave, Carthage, MO 64836-7851 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan D Haffner | Family Medicine | Mercy Hospital Carthage | 3116 Medical Park Dr, Jonathon Haffner Md, Carthage, MO 64836-1211 |
| Christopher Robert Andrew | Neurology | Mercy Hospital Carthage | 3116 Medical Park Dr, Jonathon Haffner Md, Carthage, MO 64836-1211 |
| Michelle L Pyle | Optometry | Carthage Eye Care PC. | 130 E 4th St, Carthage, MO 64836-1627 |
| Victoria Gabrielle Soriano | Optometry | Carthage Eye Care PC. | 130 E 4th St, Carthage, MO 64836-1627 |
| Tamra L Soriano | Optometry | Carthage Eye Care PC. | 130 E 4th St, Carthage, MO 64836-1627 |
| Lance Eugene Ford | Chiropractic | 612 S Main St, Carthage, MO 64836-1649 | |
| Roger A Sacry | Family Medicine | Sacry Family Medicine PC | 433 S Garrison Ave, Carthage, MO 64836-1749 |
| Delores A Vandergrift | Nurse Practitioner | Sacry Family Medicine PC | 433 S Garrison Ave, Carthage, MO 64836-1749 |
| Harold A Smart | Family Medicine | Freeman-oak Hill Health System | 719 W Centennial Ave, Carthage, MO 64836-2816 |
| Jennifer Elizabeth Copeland | Psychologist, Clinical | Ozark Center | 1632 Missouri Ave, Carthage, MO 64836-3059 |
| Find all physicians in zip 64836 | |||
| City | CARTHAGE |
| Zip Code | 64836 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CARTHAGE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.