TYRRIC MASON


Address: 633 W Washington St, Petersburg, VA 23803-4132
Phone: 8045863762

TYRRIC MASON (NPI# 1508471426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508471426
Entity Type Individual
Full Name TYRRIC MASON
Practice Address 633 W Washington St
Petersburg
VA 23803-4132
Mailing Address 163 Seaboard St
Petersburg
VA 23803-2770
Practice Telephone 8045863762
Mailing Telephone 8045863762
Enumeration Date 2020-09-09
Last Update Date 2020-09-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
VA Nursing Service Related Providers

Office Location

Street Address 633 W WASHINGTON ST
City PETERSBURG
State VA
Zip Code 23803-4132

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619523719 Wise Journey Ltd Home Health 325-b Brown Street Suite 132, Petersburg, VA 23803 2019-08-14
1386101699 Marliqua Barnes Driver 601 Carter St, Petersburg, VA 23803 2019-02-22
1356596571 Quality Healthcare Inc Community/Behavioral Health 6111 Duncan Rd, Ste F, Petersburg, VA 23803 2008-12-02
1861614943 Peoples Family Dental Care Dentist 1328 W Washington St, Petersburg, VA 23803 2007-05-02
1841333721 Family Preservation Services, Inc Community/Behavioral Health 1000 Patterson Ave, Petersburg, VA 23803 2007-02-14
1154473155 Progressive Adult Rehabilitation Center, Inc. Day Training, Developmentally Disabled Services 114 North Union Street, Suite B, Petersburg, VA 23803 2007-01-18
1861556615 Evelyn V. Whitehead Counselor 115 E Wythe St, Petersburg, VA 23803 2006-12-19
1538248778 Raymond Gibson Smith Jr. Dentist Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 2006-11-06
1396842282 Eugene Arthur Richardson IIi Dentist 23 Shore Street, Petersburg, VA 23803 2006-09-20
1679594030 Olumuyiwa Akinniyi Ojediran Internal Medicine 734 South Sycamore Street, Petersburg, VA 23803 2006-07-21
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376182659 Beverly Clarke Technician 2247 Colston St, Petersburg, VA 23805-2203 2020-01-03
1316584618 Crystal Eldridge Technician 1326 Halifax St, Petersburg, VA 23803-5919 2019-12-05
1487297289 Iris Taylor Technician 1525 Baxter Rd, Petersburg, VA 23803-7901 2019-10-24
1760091821 Lisa Shaffer Technician 12 Maple Hill Ave Ste 1, Petersburg, WV 26847-1547 2020-07-24
1427667575 Rebekah Swick Technician 12 Maple Hill Ave Ste 1, Petersburg, WV 26847-1547 2020-07-24
1174132229 Robin Berry Technician 12 Maple Hill Ave, Petersburg, WV 26847-1547 2020-07-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548868540 Charly Strickland Technician 305 Wakefield Dr, Locust Grove, VA 22508-5135 2020-10-12
1174120315 Martha Coffield Technician 2400 Sarah Spence, Williamsburg, VA 23185-8060 2020-10-01
1700493822 Albert Herdeg Technician 319 Wood Duck Ct, Suffolk, VA 23434-8096 2020-09-24
1639784952 Denise Quarantello Technician 4927 Fenton Mill Rd, Williamsburg, VA 23188-6923 2020-09-14
1407469653 Gwenolyn Murphy Technician 25460 Meherrin Rd, Capron, VA 23829-2050 2020-08-27
1386253730 Natosha Hurt Technician 27728 Prince Edward Hwy, Rice, VA 23966-2702 2020-07-30
1336757772 Jaye Hughes Technician 5116 Hunters Meadow Pl, Henrico, VA 23231-7668 2020-07-22
1477161107 Susie Shell Technician 154 Baltic Dr, Weber City, VA 24290-7324 2020-07-20
1245857838 Latifat Adegite Technician 10805 Three Chopt Rd, Henrico, VA 23233-2019 2020-06-29
1205452257 Barbara Pollard Technician 5658 High St W, Portsmouth, VA 23703-3742 2020-06-24
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Competitor

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City PETERSBURG
Zip Code 23803

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Dataset Information

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.

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