DR. JOHN WAGNER TYNES (NPI# 1992746002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992746002 |
| Entity Type | Individual |
| Full Name | DR. JOHN WAGNER TYNES |
| Credential | MD |
| Practice Address |
14300 Orchard Pkwy Fl 3 Westminster CO 80023 |
| Mailing Address |
Po Box 911057 Denver CO 80291-1057 |
| Practice Telephone | 3034262580 |
| Practice Fax Number | 3034262590 |
| Mailing Telephone | 8882697001 |
| Mailing Fax Number | 3037646640 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | DR.0053014 | CO | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | A00067848 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A678480 | 05 | |
| RAILROAD MEDICARE | 160055143 | 01 | |
| CA | BLUE SHIELD | ZZZ09988Z | 01 |
| OR | NORIDIAN MEDICARE | R112329 | 01 |
| OR | OMAP MEDICAID | 268688 | 01 |
| Street Address |
14300 ORCHARD PKWY FL 3 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417996794 | Tracy Lee Jones | Obstetrics & Gynecology | 14300 Orchard Pkwy Fl 3, Westminster, CO 80023-9206 | 2006-06-05 |
| 1629677018 | Critical Care Pulmonary and Sleep Associates Professional LLP | Internal Medicine | 14300 Orchard Pkwy Fl 3, Westminster, CO 80023-9206 | 2020-10-18 |
| 1609485416 | Portercare Adventist Health System | Transplant Surgery | 14300 Orchard Pkwy Fl 3, Westminster, CO 80023-9206 | 2020-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
| 1023646973 | Jonathan Michael Dill | Student in an Organized Health Care Education/Training Program | 14300 Orchard Parkway - 1st Floor, Westminster, CO 80023 | 2020-03-27 |
| 1821624594 | Kelley Stephenson | Social Worker | 469 Co-7, Broomfield, CO 80023 | 2020-03-13 |
| 1205482031 | Visionary Eye Care, Pllc | Optometrist | 16860 Sheridan Parkway, Unit 106, Broomfield, CO 80023 | 2019-08-16 |
| 1104387810 | Daniel Ojala | Student in an Organized Health Care Education/Training Program | 14300 Orchard Pkwy, 1 St Floor, Westminster, CO 80023 | 2019-03-26 |
| 1184102527 | Kristina Elizabeth Rainwater | Occupational Therapist | 3303 W 144th Ave #207, Broomfield, CO 80023 | 2018-07-28 |
| 1689122467 | Jane Vela | Physical Therapist | 14866 Falcon Drive, Broomfield, CO 80023 | 2016-09-21 |
| 1134573850 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 500 W 144th Ave Ste 200, Westminster, CO 80023 | 2016-04-19 |
| 1235541426 | Hearthside Dentistry | Dentist | 16578 N Washington St, Thornton, CO 80023 | 2014-05-22 |
| 1295168698 | Christina O Mcmillon Dentistry, Pllc | Dentist | 16578 North Washington St, Thornton, CO 80023 | 2013-08-21 |
| Find all providers in zip 80023 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750652137 | Thomas Tri Quach, Md, Inc | Obstetrics & Gynecology | 9186 Bolsa Avenue, Westminster, CA 92648 | 2012-01-18 |
| 1306018239 | Jules I. Scherr, M.d., P.a. | Obstetrics & Gynecology | 226a Washington Heights Med Ctr, Westminster, MD 21157-5633 | 2008-04-01 |
| 1114106671 | Steven M. Miller, M.d.,l.l.c. | Obstetrics & Gynecology | 906 Washington Rd, Suite #c, Westminster, MD 21157-5855 | 2007-10-31 |
| 1609077668 | John Sullivan Joyce | Obstetrics & Gynecology | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2007-05-29 |
| 1295950822 | Carroll Obgyn Associates, Ltd | Obstetrics & Gynecology | 688 Poole Rd # A, Westminster, MD 21157-6003 | 2007-04-17 |
| 1043377039 | Ngoc My Thi Huynh | Obstetrics & Gynecology | 8900 Bolsa Ave Ste C, Westminster, CA 92683-5475 | 2007-01-02 |
| 1619057619 | Hau Dvc Vuong | Obstetrics & Gynecology | 9091 Edinger Ave Ste A, Westminster, CA 92683-7585 | 2006-10-16 |
| 1982717849 | Westminster Tower Medical Center Inc. | Obstetrics & Gynecology | 8341 Westminster Blvd Ste 202, Westminster, CA 92683-8339 | 2006-08-16 |
| 1033123146 | Thomas T Quach | Obstetrics & Gynecology | 9186 Bolsa Ave, Westminster, CA 92683-5556 | 2006-07-27 |
| 1417996794 | Tracy Lee Jones | Obstetrics & Gynecology | 14300 Orchard Pkwy Fl 3, Westminster, CO 80023-9206 | 2006-06-05 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80023 |
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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.