TYNES EMERY MIXON III (NPI# 1962498683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962498683 |
Entity Type | Individual |
Full Name | TYNES EMERY MIXON III |
Credential | MD |
Practice Address |
426 Charles St New Iberia LA 70560-3707 |
Practice Telephone | 3373654156 |
Practice Fax Number | 3373654192 |
Mailing Telephone | 3373654156 |
Mailing Fax Number | 3373654192 |
Enumeration Date | 2005-09-27 |
Last Update Date | 2013-09-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
020891 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1680095 | 05 |
Street Address |
426 CHARLES ST |
City | NEW IBERIA |
State | LA |
Zip Code | 70560-3707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902251184 | Jamie Guillot | Registered Nurse | 426 Charles St, New Iberia, LA 70560-3876 | 2016-04-26 |
1417977570 | Christopher Moore Gaffga | Otolaryngology | 426 Charles St, New Iberia, LA 70560-3707 | 2006-07-20 |
1720005754 | Tynes Mixon, IIi Md Apmc | Otolaryngology | 426 Charles St, New Iberia, LA 70560-3707 | 2006-07-16 |
1427046259 | Lizabeth F Clarke | Otolaryngology | 426 Charles St, New Iberia, LA 70560-3707 | 2005-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316578289 | Kelly Koch | Speech-Language Pathologist | 3919 Highway 14, New Iberia, LA 70560 | 2020-01-30 |
1043791262 | Mark Gray | Case Manager/Care Coordinator | 4601 E Admiral Doyle Dr, New Iberia, LA 70560 | 2018-08-25 |
1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
1447766142 | Kirston Gardner | Counselor | 902 Jefferson Ter Ste D, New Iberia, LA 70560 | 2017-12-18 |
1902334048 | Keithlyn James | Counselor | 902 Jefferson Ter Ste E, New Iberia, LA 70560 | 2017-06-02 |
1619424926 | Dialysis Clinic Inc | Clinic/Center | 2708 E. Main St, New Iberia, LA 70560 | 2016-09-02 |
1720433477 | Theresa Armstead | Counselor | 1614 East Main St., Ste D, 36o Mental Health, LLC, New Iberia, LA 70560 | 2016-05-02 |
1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
1508241969 | Sworoop Thomas John | Internal Medicine | 2315 East Main Street, Medical Staff Office, New Iberia, LA 70560 | 2015-07-28 |
Find all providers in zip 70560 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366700387 | Calcasieu Cameron Hospital Service District | Otolaryngology | 1629 Beglis Pkwy, Sulphur, LA 70663-5906 | 2012-04-27 |
1447574470 | Celeste Christina Gary | Otolaryngology | 533 Bolivar St, Suite 566, New Orleans, LA 70112-1349 | 2010-03-19 |
1740423169 | James J. Lanasa, Jr. M.d., P.m.c. | Otolaryngology | 2223 Quail Run, Suite E, Baton Rouge, LA 70808-9063 | 2009-04-15 |
1487839825 | Roxana Baratelli | Otolaryngology | 1430 Tulane Ave, Sl-59, New Orleans, LA 70112-2632 | 2008-01-03 |
1750581880 | Christopher L. Surek, D.o. Apmc | Otolaryngology | 6110 Main St, Suite D, Zachary, LA 70791-4033 | 2007-07-18 |
1831397439 | Associated Surgical Specialists, L.L.C. | Otolaryngology | 350 Lakeview Ct, Suite A, Covington, LA 70433-7514 | 2007-07-05 |
1457573065 | Michael Stephen Hanemann Jr. | Otolaryngology | 5233 Dijon Dr, Baton Rouge, LA 70808-4692 | 2007-05-03 |
1912126723 | Jason Morgan Guillot | Otolaryngology | 1420 N Causeway Blvd, Mandeville, LA 70471-3104 | 2007-04-24 |
1306917240 | Kenneth Sanders Md Pllc | Otolaryngology | 2800 Youree Dr, Suite 110, Shreveport, LA 71104-3661 | 2006-11-13 |
1225127509 | Elisabeth H Rareshide | Otolaryngology | 2820 Napoleon Ave, Suite 820, New Orleans, LA 70115-6969 | 2006-10-12 |
Find all providers with the same taxonomy |
City | NEW IBERIA |
Zip Code | 70560 |
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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.