DR. TYRA D KANE (NPI# 1639102924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639102924 |
| Entity Type | Individual |
| Full Name | DR. TYRA D KANE |
| Credential | M.D. |
| Practice Address |
85 Thomas Johnson Ct Suite C Frederick MD 21702-4331 |
| Practice Telephone | 3016689393 |
| Practice Fax Number | 3016684480 |
| Mailing Telephone | 3016689393 |
| Mailing Fax Number | 3016684480 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2017-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D0062009 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KAISER | 10345 | 01 | |
| MD | 0410462 | 05 | |
| AETNA PPO | 7529195 | 01 | |
| MAMSI | 8137289 | 01 | |
| COVENTRY | 264367 | 01 | |
| CAREFIRST MARYLAND | 64653201 | 01 | |
| NCPPO | 700264 | 01 | |
| UNITED HEALTHCARE | 2452287 | 01 | |
| AETNA HMO | 3619618 | 01 | |
| CAREFIRST DC | 0088 | 01 | |
| JOHNS HOPKINS HEALTHCARE | 122144 | 01 | |
| MD | 407729600 | 05 |
| Street Address |
85 THOMAS JOHNSON CT SUITE C |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588653786 | Leonard E Kane | Internal Medicine | 85 Thomas Johnson Ct, Suite B, Frederick, MD 21702-4331 | 2005-10-19 |
| 1669866489 | Mid-maryland Anesthesia LLC | Anesthesiology | 85 Thomas Johnson Ct, Suite C, Frederick, MD 21702-4331 | 2015-03-19 |
| 1740436245 | Tyra D. Kane | Internal Medicine | 85 Thomas Johnson Ct, Suite C, Frederick, MD 21702 | 2008-08-15 |
| 1982789269 | Douglas J. Koch, D.d.s.,l.l.c. | Dentist | 85 Thomas Johnson Ct, Suite A, Frederick, MD 21702-4331 | 2006-10-26 |
| 1811072291 | Douglas John Koch | Dentist | 85 Thomas Johnson Ct, Suite A, Frederick, MD 21702-4331 | 2006-10-26 |
| 1639283757 | Frederick Anesthesia, LLC | Anesthesiology | 85 Thomas Johnson Ct, Suite E, Frederick, MD 21702-4331 | 2006-08-18 |
| 1114934684 | Lori Kay Peters | Registered Nurse | 85 Thomas Johnson Ct, Suite D, Frederick, MD 21702-4331 | 2006-08-01 |
| 1427012053 | Gastroenterology Specialists of Frederick, P.a. | Internal Medicine | 85 Thomas Johnson Ct, Suite B, Frederick, MD 21702-4331 | 2006-04-12 |
| 1407829732 | Court Endoscopy Center of Frederick, Inc. | Clinic/Center | 85 Thomas Johnson Ct, Suite E, Frederick, MD 21702-4331 | 2006-02-08 |
| 1033189386 | Roberta R Taylor | Physician Assistant | 85 Thomas Johnson Ct, Suite B, Frederick, MD 21702-4359 | 2006-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235532912 | Harpreet Gulati | Internal Medicine | 5257 Buckeystown Pike Ste 265, Frederick, MD 21704-7535 | 2014-10-08 |
| 1285053926 | Garima Narayen | Internal Medicine | 7211 Bank Ct Ste 240, Frederick, MD 21703-8482 | 2014-04-09 |
| 1689916892 | Jalal Saied Md, LLC | Internal Medicine | 238 W Patrick St, Frederick, MD 21701-6945 | 2013-03-26 |
| 1881946184 | Jalal Saied, M.d. LLC | Internal Medicine | 15 West 7th Street, Frederick, MD 21701-4501 | 2012-10-10 |
| 1699900894 | Gary Philip Schwartz | Internal Medicine | 6360 Claridge Dr N, Frederick, MD 21701-7617 | 2009-05-18 |
| 1265619878 | Mouhamad Bazzi | Internal Medicine | 2405 Whittier Drive, Suite 100, Frederick, MD 21702-3361 | 2008-01-25 |
| 1770768483 | Sajjad Aziz, M.d., P.a. | Internal Medicine | 801 Toll House Ave Ste C3, Frederick, MD 21701-4555 | 2008-01-02 |
| 1679761472 | Rengen Nephrology LLC | Internal Medicine | 405 W 7th St, Frederick, MD 21701-4505 | 2007-10-07 |
| 1184835720 | Sarabjit Kaur Singh | Internal Medicine | 186 Thomas Johnson Dr Ste 105, Frederick, MD 21702-4315 | 2007-05-25 |
| 1043385651 | Michael Terry Sullivan | Internal Medicine | 22 S Market Street, Frederick, MD 21701 | 2006-11-21 |
| Find all providers in FREDERICK | ||||
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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.