KEVIN J TYNDALL (NPI# 1316358393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316358393 |
| Entity Type | Individual |
| Full Name | KEVIN J TYNDALL |
| Credential | PA-C |
| Practice Address |
940 Royal Ave Suite 420 Medford OR 97504-6193 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5417328388 |
| Practice Fax Number | 5417328387 |
| Mailing Telephone | 5417328388 |
| Mailing Fax Number | 5417328387 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA168083 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
940 ROYAL AVE SUITE 420 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649250895 | Sanjeev Sharma | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 940 Royal Ave, Suite 450, Medford, OR 97504-6193 | 2006-01-21 |
| 1750703559 | Jessica Lynn Luckman | Nurse Practitioner | 940 Royal Ave, Ste 350, Medford, OR 97504-6193 | 2014-01-13 |
| 1902193527 | Kendall Lee Olson-cassidy | Registered Nurse | 940 Royal Ave, Suite 350, Medford, OR 97504-6193 | 2011-07-03 |
| 1972896710 | Andrew Galffy | Obstetrics & Gynecology | 940 Royal Ave, Ste 350, Medford, OR 97504-6193 | 2011-05-26 |
| 1578772935 | Aaron Wayne Partsafas | Surgery | 940 Royal Ave, Suite 420, Medford, OR 97504-6194 | 2007-05-22 |
| 1568689701 | Sisters of Providence In Oregon | Clinic/Center | 940 Royal Ave, Suite 450, Medford, OR 97504-6193 | 2007-04-19 |
| 1144345455 | Timothy B Hutchings | Obstetrics & Gynecology | 940 Royal Ave, Ste 350, Medford, OR 97504-6193 | 2007-03-20 |
| 1427116862 | Betty Kay Taylor | Advanced Practice Midwife | 940 Royal Ave, Ste 350, Medford, OR 97504-6193 | 2006-12-05 |
| 1750460283 | Providence Health & Services - Oregon | Clinic/Center | 940 Royal Ave, Suite 420, Medford, OR 97504-6193 | 2006-11-03 |
| 1902984263 | John A Schwartz | Surgery | 940 Royal Ave, Suite 420, Medford, OR 97504-6193 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154848356 | Alyssa Catherine Griffin | Physician Assistant | 265 Bridgeport Ave, Medford, NY 11763-4018 | 2017-08-28 |
| 1760907125 | Amanda Stevens | Physician Assistant | 1731 N Ocean Ave Ste A, Medford, NY 11763-2670 | 2017-08-07 |
| 1518366863 | Latoya Allen | Physician Assistant | 2450 Highgate St, Unit 12, Medford, OR 97501-7955 | 2014-08-21 |
| 1942491097 | Diana M Loo | Physician Assistant | 940 Royal Ave Unit 420, Medford, OR 97504-6194 | 2007-08-05 |
| 1821159658 | Dean W Moss | Physician Assistant | 3720 Fieldbrook Ave, Medford, OR 97504-9474 | 2006-12-13 |
| 1437762333 | Nicole Elisa Gregoire | Physician Assistant | 2900 State St, Medford, OR 97504-8458 | 2020-08-28 |
| 1043705460 | Hakan Binek | Physician Assistant | 520 Medical Center Dr Ste 300, Medford, OR 97504-4316 | 2018-06-27 |
| 1659884401 | Savana Marisa Cochrane | Physician Assistant | 520 Medical Center Dr Ste 300, Medford, OR 97504-4316 | 2017-11-14 |
| 1730692500 | Michael Jaskot | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-11-14 |
| 1740792316 | James Zheng Berking | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-11-03 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on KEVIN J TYNDALL.
| 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.