MR. BENJAMIN C. TYAU


Address: 193 Bath Rd, Brunswick, ME 04011
Phone: 2074242272

MR. BENJAMIN C. TYAU (NPI# 1992076111) 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) 1992076111
Entity Type Individual
Full Name MR. BENJAMIN C. TYAU
Credential PA-C
Practice Address 193 Bath Rd
Brunswick
ME 04011
Mailing Address 1321 N Martingale Rd
Gilbert
AZ 85234-1701
Practice Telephone 2074242272
Mailing Telephone 4804526660
Enumeration Date 2012-01-19
Last Update Date 2019-06-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5007 AZ Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
9060 E Via Linda Ste 250, Scottsdale, AZ 852585425 4805452787

Office Location

Street Address 193 BATH RD
City BRUNSWICK
State ME
Zip Code 04011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801495353 Sonia Katherine Righter Nurse Practitioner 193 Bath Rd, Brunswick, ME 04011-2607 2020-10-25
1457970592 Convenientmd LLC Clinic/Center 193 Bath Rd, Brunswick, ME 04011-2607 2020-04-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093276370 Convenientmd LLC Clinic/Center 193 Bath Road, Brunswick, ME 04011 2019-03-28
1326571241 Psychology Specialists of Maine Psychologist 14 Maine St., Suite 309, Brunswick, ME 04011 2017-04-07
1992249775 Avita Brunswick LLC Alzheimer Center (Dementia Center) 89 Admiral Fitch Way, Brunswick, ME 04011 2016-12-13
1215303433 Mary K Kunhardt Social Worker 116 Maquoit Rd, Brunswick, ME 04011 2015-08-12
1861803843 Gretchen Jane Stevens Counselor 136 Maine Street, Suite #6, Brunswick, ME 04011 2014-05-13
1356764567 Kid Function, Inc. Clinic/Center 225 Thomas Point Road, Brunswick, ME 04011 2014-01-23
1356788921 Jacques M. Reynolds Psychiatry & Neurology 81 Medical Center Dr # 2400, Brunswick, ME 04011 2013-05-23
1922369891 Charles Russell Thorp Pharmacist 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 2012-06-06
1841575339 Bluesage Therapies Inc. Social Worker 214 Raymond Road, Brunswick, ME 04011 2011-10-15
1801197827 Ellen H Theodores Social Worker 153b Park Rowe, Brunswick, ME 04011 2010-11-08
Find all providers in zip 04011

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063905990 Jonathon Wesley Capps Physician Assistant 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 2018-06-14
1518225358 Timothy Paul Katoski Physician Assistant 135 Wood Crest Cir, Brunswick, GA 31525-6887 2012-04-30
1376617167 Maureen Kilrain Physician Assistant 3059 Grafton Rd, Brunswick, OH 44212 2006-11-20
1811077696 Karen Anne Marlin Physician Assistant Dudley Coe Health Center Bowdoin College, 3600 College Station, Brunswick, ME 04011 2006-10-16
1093782856 Ismael S Osta Physician Assistant 3226 Hampton Ave, Suite G, Brunswick, GA 31520-4225 2006-03-01
1275504771 Alta Anesthesia Associates of Georgia, PC Physician Assistant 3100 Kemble Ave, Brunswick, GA 31520-4211 2006-02-01
1770124026 Calysta Lane Medley Physician Assistant 600 Coastal Village Dr, Brunswick, GA 31520-1973 2019-10-07
1619525995 Rachel Putnam Physician Assistant 14 Maine St # 44, Brunswick, ME 04011-2049 2019-08-29
1043871494 Erin Ferguson Physician Assistant 3025 Shrine Rd Ste 390, Brunswick, GA 31520-4786 2019-06-26
1982269213 Brenna Clavette Physician Assistant 74 Baribeau Dr, Brunswick, ME 04011-3218 2019-05-02
Find all providers in BRUNSWICK

Competitor

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City BRUNSWICK
Zip Code 04011

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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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