Provider Demographics
NPI:1063533016
Name:STUART BYER M.D. PA
Entity type:Organization
Organization Name:STUART BYER M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RADIATION ONCOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-567-4311
Mailing Address - Street 1:2121 E CRAWFORD PL
Mailing Address - Street 2:PO BOX 256
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3719
Mailing Address - Country:US
Mailing Address - Phone:785-823-0633
Mailing Address - Fax:
Practice Address - Street 1:1000 36TH ST
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4862
Practice Address - Country:US
Practice Address - Phone:772-567-4311
Practice Address - Fax:772-569-6949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0044416174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL64521OtherBCBS OF FLORIDA
FL5121669OtherCIGNA
FL5121669OtherCIGNA
FL64521OtherBCBS OF FLORIDA