TYLER DAVIS (NPI# 1003439803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003439803 |
| Entity Type | Individual |
| Full Name | TYLER DAVIS |
| Credential | DO |
| Practice Address |
11937 Us Highway 271 Tyler TX 75708-3154 |
| Practice Telephone | 9038777777 |
| Mailing Telephone | 9038777777 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | BP10071515 | TX | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235646936 | Tyler Davis | Occupational Therapy Assistant | 709 Highway 19, Thayer, MO 65791 | 2018-01-03 |
| 1790096154 | Tyler Davis | Dentist | 80 W Concord St, #2, Boston, MA 02118-3808 | 2010-06-30 |
| 1104053057 | Tyler Matheson Davis | Dentist | 814 S Main St, Wake Forest, NC 27587-2808 | 2009-06-18 |
| 1346894409 | Tyler Richard Davis | Nurse Practitioner | 617 E Riverside Dr Ste 302, Saint George, UT 84790-8722 | 2019-07-27 |
| 1376105221 | Tyler Davis | Pharmacist | 500 Suncrest Town Centre Dr, Morgantown, WV 26505-1820 | 2019-07-01 |
| 1447815295 | Tyler Lynn Davis | Registered Nurse | 2500 Rocky Mountain Ave Ste 100, Loveland, CO 80538-9004 | 2019-05-07 |
| 1972064160 | Tyler R. Davis | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130-3932 | 2019-03-29 |
| 1013477942 | Tyler Davis | Anesthesiology | Kumc 3901 Rainbow Blvd Ms 1034, Kansas City, KS 66160-0001 | 2019-03-25 |
| 1275090722 | Tyler Davis | Emergency Medicine | 620 Shadow Ln, Las Vegas, NV 89106-4194 | 2019-02-20 |
| 1336637941 | Tyler Davis | Pharmacist | 6777 Clinton Hwy, Knoxville, TN 37912-1020 | 2018-04-30 |
| Street Address |
11937 US HIGHWAY 271 |
| City | TYLER |
| State | TX |
| Zip Code | 75708-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233550 | Frances L. Elizondo | Physician Assistant | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-05-31 |
| 1497355481 | Jessie Ann Gibson | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-28 |
| 1538767397 | Ian Joseph Gomez | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-14 |
| 1588262562 | Jamie R Antwine | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-13 |
| 1679171797 | Christian Paul Fant | Dietitian, Registered | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-10-12 |
| 1912512468 | Halle Ross-young | Psychologist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-09-11 |
| 1093328700 | Joshua Morgan | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-08-24 |
| 1811509011 | Kavya Parasa | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-08-19 |
| 1326657792 | Pelin D Strebler | Clinical Neuropsychologist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-07-30 |
| 1508483082 | Chi Nguyen Benson | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615699 | Aiat Radwan | Student in an Organized Health Care Education/Training Program | 11937 U Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-23 |
| 1174170781 | Sanmitha Sundaram Kota | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-08-20 |
| 1952960437 | Parashar Trivedi | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-10 |
| 1659937506 | Sandhya Devaraj | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-16 |
| 1972169381 | Mary Kaar | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1396301701 | Joshua Penrod | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1558927962 | Ijeoma Nwaigwe | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1487210894 | David Pollard | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1477119873 | Aparna Kanuparthy | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| 1275199689 | Prithvi Muddana | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-13 |
| Find all providers in zip 75708 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512005 | Courtney Yates | Student in an Organized Health Care Education/Training Program | 2920 Northlake Cv, Tyler, TX 75703-7033 | 2020-09-15 |
| 1033723895 | Dylan Horinek | Student in an Organized Health Care Education/Training Program | 913 Beth Dr, Tyler, TX 75703-4813 | 2020-08-31 |
| 1326669060 | Vijay Krishna Kuppurajan | Student in an Organized Health Care Education/Training Program | 11937u Hwy 271, Tyler, TX 75708-3154 | 2020-05-05 |
| 1427615699 | Aiat Radwan | Student in an Organized Health Care Education/Training Program | 11937 U Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-23 |
| 1730663436 | Michael Stephen Lowe | Student in an Organized Health Care Education/Training Program | 3201 Lexington Dr, Tyler, TX 75701-6663 | 2018-09-18 |
| 1659855476 | Victoria Ezeh | Student in an Organized Health Care Education/Training Program | 3900 University Blvd # 128, Tyler, TX 75799-6600 | 2018-09-18 |
| 1972086999 | Raul De Jesus Olmos Cervantes | Student in an Organized Health Care Education/Training Program | 1538 N Ross Ave, Tyler, TX 75702-4143 | 2018-09-14 |
| 1942783907 | Deborah Adeyemo | Student in an Organized Health Care Education/Training Program | 2310 Haverhill Dr Apt 812, Tyler, TX 75707-4511 | 2018-09-14 |
| 1518491588 | Azael Arizpe Jr. | Student in an Organized Health Care Education/Training Program | 1530 Lenora Ave, Tyler, TX 75702-2632 | 2017-04-17 |
| 1609224393 | Nicole Goodman | Student in an Organized Health Care Education/Training Program | 13172 State Highway 64 E, Tyler, TX 75707-5340 | 2016-06-02 |
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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.