TYLER HOLMES MEMORIAL HOSPITAL ERP (NPI# 1548409196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548409196 |
| Entity Type | Organization |
| Organization Name | TYLER HOLMES MEMORIAL HOSPITAL ERP |
| Practice Address |
409 Tyler Holmes Dr Winona MS 38967-1521 |
| Practice Telephone | 6622834114 |
| Practice Fax Number | 6622834640 |
| Mailing Telephone | 6622834114 |
| Mailing Fax Number | 6622834640 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |
| Authorized Official Name | MR. R M TYLER (ADMINISTRATOR) |
| Authorized Official Telephone | 6622836127 |
| Is Organization Subpart | Y |
| Parent Organization Name | TYLER HOLMES MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09012469 | 05 | |
| MS | BLUE CROSS | 000019156 | 01 |
| MS | MEDICARE PTAN | C00921 | 01 |
| Street Address |
409 TYLER HOLMES DR |
| City | WINONA |
| State | MS |
| Zip Code | 38967-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326079047 | Katherine W Hughes | Nurse Practitioner | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2006-07-05 |
| 1144840489 | Elizabeth Brown Kelly | Nurse Practitioner | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2020-04-16 |
| 1497229579 | Courtney Swedenburg | Physical Therapist | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2019-01-11 |
| 1407362890 | Tiffany Tucker | Occupational Therapy Assistant | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2017-12-20 |
| 1174048391 | Ashley Boatner | Physical Therapist | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2017-08-09 |
| 1780107466 | Kelsey Robertson | Physical Therapy Assistant | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2017-07-25 |
| 1558896316 | Maria Annice Nelson | Occupational Therapist | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2017-04-28 |
| 1255871786 | Mariclaire Nix | Physical Therapy Assistant | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2017-03-02 |
| 1033661996 | Carlie Boyette | Occupational Therapy Assistant | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2016-10-26 |
| 1881148468 | Hannah Davis | Occupational Therapy Assistant | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2016-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538630835 | Zachary Leon Selby | Occupational Therapist | 1521, 409 Tyler Holmes Dr, Winona, MS 38967 | 2018-12-12 |
| 1275937211 | Tonette Holmes | Community Health Worker | 720 Simpson Dr, Winona, MS 38967 | 2014-10-20 |
| 1124274196 | Family Health Care Clinic, Inc. | Clinic/Center | 123 N Front St, Winona, MS 38967 | 2008-08-11 |
| 1588782577 | Jacquelyn D Lucas | Optometrist | 639 Middleton Rd, Winona, MS 38967 | 2007-03-27 |
| 1154447514 | Robert Manning | Dentist | 1612 Hwy 51 N, Winona, MS 38967 | 2007-03-21 |
| 1518034347 | Hammonds Pharmacy Inc | Pharmacy | 405c N Applegate, Winona, MS 38967 | 2006-11-29 |
| 1336256858 | Kilmichael Medical Suppliers Inc | Durable Medical Equipment & Medical Supplies | 107 N Front Street, Winona, MS 38967 | 2006-08-23 |
| 1285649855 | Tyler Holmes Memorial Hospital | Family Medicine | 700 Woodland Drive, Winona, MS 38967 | 2006-07-30 |
| 1437676962 | Roger Beardain | Pharmacist | 603 Middleton Rd, Winona, MS 38967 | 2017-08-25 |
| 1235323643 | Kilmichael Medical Supplies | Pharmacist | 107 N Front Street, Winona, MS 38967 | 2007-08-29 |
| Find all providers in zip 38967 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407095060 | Tyler Holmes Memorial Hospital Xray | Specialist | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2009-02-05 |
| 1104075860 | Tyler Holmes Memorial Hospital Ekg | Specialist | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2008-09-17 |
| 1558326942 | Southeast Minnesota Sports Medicine & Orthopaedic Surgery Specialists | Specialist | 111 Riverfront, Ste 307, Winona, MN 55987-3456 | 2006-04-19 |
| 1669447041 | Richard L Romeyn | Specialist | 111 Riverfront, Ste 307, Winona, MN 55987-3456 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407407273 | Holly Wilson | Specialist | 100 Hospital St Ste 300, Booneville, MS 38829-3354 | 2019-09-24 |
| 1255893434 | Natasha Wilson | Specialist | 959 Memorial Blvd, Picayune, MS 39466-4635 | 2019-04-05 |
| 1669933396 | Doneshia Brown | Specialist | 1436 Saint Andrews Ln, Starkville, MS 39759-1613 | 2019-03-26 |
| 1770061442 | Elizabeth Newcomb | Specialist | 102 N Cass St Ste B, Corinth, MS 38834-5729 | 2018-08-03 |
| 1396271565 | Karlisha Britton | Specialist | 7 Lakeland Circle, Suite 300, Jackson, MS 39216 | 2017-05-10 |
| 1306386784 | Donna Neal | Specialist | 2113 Government St Ste K2, Ocean Springs, MS 39564-3949 | 2017-03-03 |
| 1790227627 | Mississippi Center for Advanced Medicine, PC | Specialist | 7731 Old Canton Rd, Suite B, Madison, MS 39110-6114 | 2016-11-09 |
| 1366993321 | D Balder Md Pllc | Specialist | 15190 Community Rd Ste 210, Gulfport, MS 39503-3483 | 2016-10-14 |
| 1619427374 | Anthony Jamaal Anderson | Specialist | 295 Debuys Rd, Gulfport, MS 39507-2800 | 2016-10-06 |
| 1114476389 | Physician Practice of Madison, PC | Specialist | 1111 N Frontage Rd Fl 2, Vicksburg, MS 39180-5102 | 2016-09-28 |
| 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.