DR. KEVIN RICHARD DORSEY-TYLER (NPI# 1366541849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366541849 |
| Entity Type | Individual |
| Full Name | DR. KEVIN RICHARD DORSEY-TYLER |
| Credential | M.D., PH.D. |
| Practice Address |
2 Governors Ln Suite A Chico CA 95926-1988 |
| Practice Telephone | 5308914523 |
| Practice Fax Number | 5308915934 |
| Mailing Telephone | 5308914523 |
| Mailing Fax Number | 5308915934 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | C50630 | CA | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | C50630 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C506300 | 05 |
| Street Address |
2 GOVERNORS LN SUITE A |
| City | CHICO |
| State | CA |
| Zip Code | 95926-1988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381463 | Caitlin Collins | Physician Assistant | 2 Governors Ln, Chico, CA 95926-6300 | 2019-11-22 |
| 1801307335 | Joseph Weber | Physician Assistant | 2 Governors Ln, Chico, CA 95926-6300 | 2017-10-24 |
| 1992117592 | Enloe Medical Center | Colon & Rectal Surgery | 2 Governors Ln, Chico, CA 95926-6300 | 2014-05-30 |
| 1417267766 | Joseph M Matthews Md Inc | Colon & Rectal Surgery | 2 Governors Ln, Ste A, Chico, CA 95926-1988 | 2010-10-19 |
| 1841450145 | Richard Douglas Matthews | Surgery | 2 Governors Ln, Suite A, Chico, CA 95926-1988 | 2008-06-11 |
| 1578769923 | Michael Harold Fealk | Colon & Rectal Surgery | 2 Governors Ln, Suite A, Chico, CA 95926-6300 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992117592 | Enloe Medical Center | Colon & Rectal Surgery | 2 Governors Ln, Chico, CA 95926-6300 | 2014-05-30 |
| 1417267766 | Joseph M Matthews Md Inc | Colon & Rectal Surgery | 2 Governors Ln, Ste A, Chico, CA 95926-1988 | 2010-10-19 |
| 1578769923 | Michael Harold Fealk | Colon & Rectal Surgery | 2 Governors Ln, Suite A, Chico, CA 95926-6300 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528437332 | George R. Moro | Colon & Rectal Surgery | 1140 W La Veta Ave Ste 830, Orange, CA 92868-4230 | 2015-09-22 |
| 1881087476 | Mark Paul Hachigian | Colon & Rectal Surgery | 16 Pinehurst Ln, Newport Beach, CA 92660-5229 | 2015-03-06 |
| 1982841250 | Central Valley Colon & Rectal Surgical Associates, Inc. | Colon & Rectal Surgery | 6121 N Thesta St Ste 202, Fresno, CA 93710-5294 | 2009-01-08 |
| 1972766970 | James Michael Conner | Colon & Rectal Surgery | 6450 Coyle Ave Ste 2, Carmichael, CA 95608-0313 | 2008-07-09 |
| 1063684850 | Marjun Philip Narciso Duldulao IIi | Colon & Rectal Surgery | 1450 San Pablo Street Suite 6200, Los Angeles, CA 90089-0112 | 2008-04-01 |
| 1144411414 | Theodore Coutsoftides | Colon & Rectal Surgery | 4061 Morning Star Dr, Huntington Beach, CA 92649-3009 | 2007-08-02 |
| 1023223849 | Robert Leroy Belt | Colon & Rectal Surgery | 31561 Table Rock Dr, Unit 108, Laguna Beach, CA 92651 | 2007-05-14 |
| 1063531176 | Chau V Dang Md Inc A Medical Corporation | Colon & Rectal Surgery | 5575 W Las Positas Blvd Ste 270, Pleasanton, CA 94588-5803 | 2007-03-28 |
| 1710029681 | Andrew Alan Shelton | Colon & Rectal Surgery | 875 Blake Wilbur Drive Clinic B, Stanford, CA 94305-5820 | 2007-02-13 |
| 1720139488 | Beth A Moore | Colon & Rectal Surgery | 8737 Beverly Blvd Ste 402, West Hollywood, CA 90048-1838 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
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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.