HAROLD DAVID TYLER (NPI# 1629064019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629064019 |
| Entity Type | Individual |
| Full Name | HAROLD DAVID TYLER |
| Credential | MD |
| Practice Address |
620 E College St Homer LA 71040-3202 |
| Practice Telephone | 3189272024 |
| Practice Fax Number | 3189273723 |
| Mailing Telephone | 3189272024 |
| Mailing Fax Number | 3189273723 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2010-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 016382 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1358266 | 05 |
| Street Address |
620 E COLLEGE ST |
| City | HOMER |
| State | LA |
| Zip Code | 71040-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811304074 | Ekara N Wafer-mendenhall | Nurse Practitioner | 620 E College St, Homer, LA 71040-3202 | 2014-07-18 |
| 1568675734 | Webster Anesthesiology Associates, LLC | Nurse Anesthetist, Certified Registered | 620 E College St, Homer, LA 71040-3202 | 2007-05-07 |
| 1295833713 | Homer Memorial Hospital | Psychiatric Unit | 620 E College St, Homer, LA 71040-3202 | 2006-09-20 |
| 1518061522 | Homer Memorial Hospital | Home Health | 620 E College St, Homer, LA 71040-3202 | 2006-09-11 |
| 1548364961 | Homer Memorial Hospital | Medicare Defined Swing Bed Unit | 620 E College St, Homer, LA 71040-3202 | 2006-09-08 |
| 1245268648 | James Robert Kemmerly | Specialist | 620 E College St, Homer, LA 71040-3202 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609066646 | Homer Memorial Hospital | Nurse Anesthetist, Certified Registered | 620 East College St., Homer, LA 71040 | 2007-07-26 |
| 1881806164 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1104048214 | A and L of Northeast La Inc | Day Training, Developmentally Disabled Services | 911 West Main, Homer, LA 71040 | 2007-05-02 |
| 1356409619 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 3250 Hwy 79, Homer, LA 71040 | 2006-12-05 |
| 1851343529 | Claiborne Manor Nursing Home, LLC | Skilled Nursing Facility | 6942 Highway 79 North, Homer, LA 71040 | 2006-05-17 |
| 1679523807 | Larry Don Ezell | Emergency Medicine | 620 Ecollege Street, Homer, LA 71040 | 2006-05-10 |
| 1386856680 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1720290034 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1831137579 | Helen Denise Butler | Nurse Practitioner | 104 Morris Cir, Homer, LA 71040 | 2006-06-03 |
| 1245452234 | Melvin Harold Procell | Dentist | 5220 Highway 79, Homer, LA 71040-2002 | 2007-05-02 |
| Find all providers in zip 71040 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| 1730725003 | Jc Clinical Services | General Practice | 831 W Main St, Homer, LA 71040-3322 | 2019-11-21 |
| 1629081393 | Patricia M Delate | General Practice | 880 E End Rd, Homer, AK 99603-7201 | 2006-08-14 |
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| 1013493725 | Med-corp Management, L.L.C. | General Practice | 3801 Canal St Ste 100, New Orleans, LA 70119-6043 | 2018-07-16 |
| 1306341060 | Ready Responders Louisiana LLC | General Practice | 1320 Magazine St Ste 203, New Orleans, LA 70130-4267 | 2018-03-26 |
| 1841791415 | Alpha Medical Center, LLC | General Practice | 3648 Pontchartrain Dr Ste 100, Slidell, LA 70458-4816 | 2018-02-28 |
| 1710495627 | Mayfield Advanced Medical, LLC | General Practice | 5419 Jackson St Ext Ste B, Alexandria, LA 71303-2322 | 2018-01-12 |
| 1568976413 | Brandie A Smith | General Practice | 19115 Florida Ave., Suite A, Albany, LA 70711 | 2017-11-29 |
| 1003328444 | Ochsner Clinic LLC | General Practice | 201 Decatur St, New Orleans, LA 70130-1015 | 2017-10-25 |
| 1548790470 | Cure Global, LLC | General Practice | 229 Hidden Pines Dr, Pineville, LA 71360-2203 | 2017-06-13 |
| 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.