Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 34007414 | OH |
NPI | 1023094091 |
---|---|
Provider Name | Dr. Amy M Byerly |
First Address | Centerville, OH 45459-4056 |
Second Address | Centerville, OH 45459-3953 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 24/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000290784 | ANTHEM (01) | OH |
000000290784 | UNICARE (01) | OH |
0704300 | UNITED HEALTH CARE (01) | OH |
2205492 | (05) | OH |
34007414B | MEDICAL LICENSE (01) | OH |
421534506070 | CARESOURCE (01) | OH |
7700448 | AETNA (01) | OH |
D0741402 | HUMANA/CHOICECARE (01) | OH |
D0741403 | HUMANA/CHOICECARE (01) | OH |
H165890 | (02) | OH |
H25599 | (02) | OH |
P00047033 | RAILROAD MEDICARE (01) | OH |