TYNES EMERY MIXON III


Address: 426 Charles St, New Iberia, LA 70560-3707
Phone: 3373654156

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YX0905X Otolaryngology
Specialization: Otolaryngology/Facial Plastic Surgery
020891 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1680095 05

Office Location

Street Address 426 CHARLES ST
City NEW IBERIA
State LA
Zip Code 70560-3707

Providers in the same location

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

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Taxonomy Information

Taxonomy Code 207YX0905X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Otolaryngology/Facial Plastic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City NEW IBERIA
Zip Code 70560

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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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