TYLER MCKINNON (NPI# 1205272408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205272408 |
| Entity Type | Individual |
| Full Name | TYLER MCKINNON |
| Credential | MD |
| Practice Address |
1161 21st Ave S Ste Ccc 1118 Nashville TN 37232-2134 |
| Mailing Address |
719 Thompson Ln Ste 30330 Nashville TN 37204-4701 |
| Practice Telephone | 6153223000 |
| Mailing Telephone | 6153223000 |
| Mailing Fax Number | 6153223000 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2018-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 191928 | NC | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
56340 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790131480 | Tyler Jordan Mckinnon | Physician Assistant | 7733 W Emerald St, Boise, ID 83704-9020 | 2016-05-11 |
| 1427469170 | Tyler R. Mckinnon | Radiology | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2014-05-15 |
| Street Address |
1161 21ST AVE S STE CCC 1118 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922207026 | Christopher Scott Jones | Radiology | 1161 21st Ave S Ste Ccc 1118, Nashville, TN 37232-2735 | 2007-07-17 |
| 1497164909 | Christopher Phelps | Radiology | 1161 21st Ave S Ste Ccc 1118, Nashville, TN 37232-4701 | 2014-08-08 |
| 1578978243 | Thomas Jordan Grillot | Radiology | 1161 21st Ave S Ste Ccc 1118, Nashville, TN 37232-3124 | 2014-06-21 |
| 1780003152 | Travis Mccall Palmer | Radiology | 1161 21st Ave S Ste Ccc 1118, Nashville, TN 37232-2238 | 2014-04-14 |
| 1366860298 | Jenna Harmon | Radiology | 1161 21st Ave S Ste Ccc 1118, Nashville, TN 37232-3908 | 2014-03-28 |
| 1578902367 | Edward Roberdeau Cochran IIi | Radiology | 1161 21st Ave S Ste Ccc 1118, Nashville, TN 37232-2358 | 2013-06-14 |
| 1194168831 | Steven Scott Harris | Radiology | 1161 21st Ave S Ste Ccc 1118, Nashville, TN 37232-3403 | 2013-04-11 |
| 1003159252 | Gregory Hall | Radiology | 1161 21st Ave S Ste Ccc 1118, Nashville, TN 37232-3543 | 2013-04-05 |
| 1417290024 | Rekha Krishnasarma | Radiology | 1161 21st Ave S Ste Ccc 1118, Nashville, TN 37232-1437 | 2013-04-02 |
| 1699030759 | Courtney Tomblinson | Radiology | 1161 21st Ave S Ste Ccc 1118, Nashville, TN 37232-5452 | 2012-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
| Find all providers in zip 37232 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972982569 | Lee Van Carroll Jr. | Radiology | 3601 The Vanderbilt Clinic Department of Radiology, Nashville, TN 37232-3326 | 2015-05-28 |
| 1760892772 | Raj Chandravadan Bant | Radiology | 28 White Bridge Pike Ste 111, Nashville, TN 37205-1466 | 2014-04-29 |
| 1376986828 | Neal Weston Langdon | Radiology | 28 White Bridge Rd Ste 111, Nashville, TN 37205-1466 | 2013-04-15 |
| 1528300555 | Jason Robert Ross | Radiology | 1161 21st Ave S Ste Ccc 1108, Nashville, TN 37232-0709 | 2013-03-16 |
| 1366788408 | Ccf Tennessee Medical Services PC | Radiology | 843 Rodney Dr, Nashville, TN 37205-3057 | 2012-12-18 |
| 1790040947 | Ashish Patel | Radiology | 1161 21st Ave S, Mcn Suite Ccc-1118, Nashville, TN 37232 | 2012-07-12 |
| 1972867398 | Matthew Ryan Prater | Radiology | Department of Radiology 1161 21st Ave S, Nashville, TN 37232-4500 | 2012-06-29 |
| 1467715722 | Elizabeth Lio | Radiology | Department of Radiology Medical Center Nort, Nashville, TN 37232-0001 | 2012-06-21 |
| 1104183235 | Michael Emerson Hogan | Radiology | Medical Center North 1161 21st Ave S, Nashville, TN 37232-3998 | 2012-04-13 |
| 1932424629 | Katherine Collier Frederick-dyer | Radiology | Department of Radiology Vanderbilt Univ Ctr, 1161 Medical Center Drive, Nashville, TN 37232-2675 | 2010-04-06 |
| Find all providers in NASHVILLE | ||||
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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.