COURTNEY E. TYSON (NPI# 1457343956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457343956 |
| Entity Type | Individual |
| Full Name | COURTNEY E. TYSON |
| Credential | P.A. |
| Practice Address |
4211 Joe Ramsey Blvd E Suite 100 Greenville TX 75401-7852 |
| Mailing Address |
125 West Ih-30 Suite L Royse City TX 75189 |
| Practice Telephone | 9034087700 |
| Practice Fax Number | 9034087810 |
| Mailing Telephone | 9726359490 |
| Mailing Fax Number | 9726352190 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2009-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA04299 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE GROUP | 00J629 | 01 |
| Street Address |
4211 JOE RAMSEY BLVD E SUITE 100 |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-7852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912391103 | Michelle Mersmann | Nurse Practitioner | 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401-7852 | 2015-03-25 |
| 1730480542 | Ab Internal Medicine Group Pa | Specialist | 4211 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2010-11-10 |
| 1841477122 | Larry Anderson | Physical Therapist | 4211 Joe Ramsey Blvd E, Ste 100, Greenville, TX 75401-7852 | 2008-01-29 |
| 1154501161 | Cardiology and Interventional Vascular Associates | Specialist | 4211 Joe Ramsey Blvd E, Suite 101, Greenville, TX 75401-7852 | 2007-11-07 |
| 1629289228 | John C.h. Wang, Do, Pa | Urology | 4211 Joe Ramsey Blvd E, Suite 203, Greenville, TX 75401-7852 | 2007-05-24 |
| 1710074612 | Harold Alan Barnard | Family Medicine | 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401-7852 | 2006-10-10 |
| 1861507493 | Kacy J Thornton | Physical Therapist | 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401-7852 | 2006-08-21 |
| 1386687242 | Linton M Koger | Family Medicine | 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401-7852 | 2006-06-14 |
| 1851333900 | William Cantrell | Family Medicine | 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401-7852 | 2006-06-12 |
| 1578501540 | Leah Madsen | Family Medicine | 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401-7852 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924977 | Caitlyn N Jetter | Physician Assistant | 7238 N State Route 49, Greenville, OH 45331-8302 | 2020-08-29 |
| 1720618291 | Kaitlin Stover | Physician Assistant | 3444 Briarcliff Dr Apt K, Greenville, NC 27834-5419 | 2020-01-23 |
| 1962044321 | Tyler Robert Tefft | Physician Assistant | 25 Draper St Apt 129, Greenville, SC 29611-4786 | 2019-10-17 |
| 1780157842 | Briana Welch Denton | Physician Assistant | 2101 W Arlington Blvd # 100, Greenville, NC 27834-5758 | 2019-01-10 |
| 1548732027 | Jennifer Pedersen | Physician Assistant | 14314 Canter Trl, Greenville, SC 29609-0964 | 2018-12-21 |
| 1972089092 | Sarah Eileen Mann | Physician Assistant | 315 Greenville Blvd Se Ste 100, Greenville, NC 27858-5733 | 2018-07-11 |
| 1134588478 | Sarah Roeser | Physician Assistant | 2090 W Arlington Blvd Ste B, Greenville, NC 27834-5727 | 2016-02-15 |
| 1992177760 | Robert Chapman | Physician Assistant | 126 Milestone Way, Greenville, SC 29615-5065 | 2015-10-20 |
| 1497137756 | Alexandra Brooks | Physician Assistant | 2706 Aileen St Ste B, Greenville, TX 75402-6486 | 2015-06-23 |
| 1558776633 | David Jonathan Cutter | Physician Assistant | 1202 W Oak St Ste 200, Greenville, MI 48838-2155 | 2014-06-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
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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.