MAUREEN TYNER


Address: 4110 N 108th Ave Ste 105, Phoenix, AZ 85037-5772
Phone: 6237726999

MAUREEN TYNER (NPI# 1750710802) 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) 1750710802
Entity Type Individual
Full Name MAUREEN TYNER
Credential FNP
Practice Address 4110 N 108th Ave Ste 105
Phoenix
AZ 85037-5772
Practice Telephone 6237726999
Practice Fax Number 6237726444
Mailing Telephone 6237726999
Mailing Fax Number 6237726444
Enumeration Date 2013-11-08
Last Update Date 2020-02-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
AP5263 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 871221 05

Office Location

Street Address 4110 N 108TH AVE STE 105
City PHOENIX
State AZ
Zip Code 85037-5772

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891749313 Elizabeth Cruz Internal Medicine 4110 N 108th Ave Ste 105, Phoenix, AZ 85037-5772 2006-05-20
1538630280 Jessica L Segura Guerrero Nurse Practitioner 4110 N 108th Ave Ste 105, Phoenix, AZ 85037-5772 2018-12-06
1356460588 Ajay K Mathur Specialist 4110 N 108th Ave Ste 105, Phoenix, AZ 85037-5772 2007-03-28
1043313646 Rukiya J Chavers Registered Nurse 4110 N 108th Ave Ste 105, Phoenix, AZ 85037-5772 2006-09-07

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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740836642 Integrated Medical Services Inc Internal Medicine 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 2019-08-15
1447763602 Desert Gastroenterology Pllc Internal Medicine 20430 N 19th Ave Ste B-150, Phoenix, AZ 85027-3588 2017-11-09
1528292125 Jcl Gastroenterology, LLC Internal Medicine 9237 N. 3rd Street, Suite 202, Phoenix, AZ 85020-0000 2009-05-11
1467696757 Jcl Gastroenterology, LLC Internal Medicine 19646 N. 27th Ave., Suite201, Phoenix, AZ 85027-0000 2009-04-30
1992981583 Arizona Digestive Health, PC Internal Medicine 3020 E Camelback Rd, Suite 301, Phoenix, AZ 85016-4417 2008-01-14
1508969122 Vincent J Honan Md PC Internal Medicine 1300 12th Str, #518, Phoenix, AZ 85006-2849 2006-09-07
1649381922 Associated Billing Services, Inc Internal Medicine 13430 N Black Canyon Hwy, Suite 100, Phoenix, AZ 85029-1310 2006-08-31
1619081577 Bassel Al-lahham Internal Medicine 19636 N 27th Ave Ste 408, Phoenix, AZ 85027 2006-08-18
1700898590 James R Spivey Internal Medicine 500 W Thomas Rd Ste 100, Phoenix, AZ 85013-4255 2006-08-12
1790739266 Masud S Shaukat Internal Medicine 2401 E Luke Ave, Phoenix, AZ 85016-2808 2006-05-20
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Competitor

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City PHOENIX
Zip Code 85037

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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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