Ralph R Tyner (NPI# 1215916168, PAC ID# 2567363955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1215916168 |
| PAC ID by PECOS | 2567363955 |
| Professional Enrollment ID | I20100615000847 |
| Full Name | Ralph R Tyner |
| Organization Legal Name | ENT PROFESSIONAL SERVICES PC |
| Address |
3385 Dexter Ct Suite 101 Davenport IA 52807-3471 |
| Phone Number | 5633591646 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 8426949298 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160033 | GENESIS MEDICAL CENTER-DAVENPORT |
| 140275 | GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI |
| Address | Phone | Organization |
|---|---|---|
| 3385 Dexter Ct, Suite 101, Davenport, IA 52807-3471 | 5633591646 | ENT PROFESSIONAL SERVICES PC |
| Organization Legal Name | ENT PROFESSIONAL SERVICES PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas W Dvorak | Otolaryngology | Ent Professional Services PC | 3385 Dexter Ct, Suite 101, Davenport, IA 52807-3471 |
| Christine R Fluegel | Qualified Audiologist | Ent Professional Services PC | 3385 Dexter Ct, Suite 101, Davenport, IA 52807-3471 |
| Breanna L Hoepfner | Physician Assistant | Ent Professional Services PC | 3385 Dexter Ct, Suite 101, Davenport, IA 52807-3471 |
| Thomas C Quesnell | Qualified Audiologist | Ent Professional Services PC | 3385 Dexter Ct, Suite 101, Davenport, IA 52807-3471 |
| Jay Daniel Burmeister | Otolaryngology | Ent Professional Services PC | 600 John Deere Rd, Suite 400, Moline, IL 61265-6812 |
| Jeremy Mcgrath | Physician Assistant | Ent Professional Services PC | 3385 Dexter Ct, Suite 101, Davenport, IA 52807-3471 |
| Suzanne M Peppers | Physician Assistant | Ent Professional Services PC | 3385 Dexter Ct, Suite 101, Davenport, IA 52807-3471 |
| Michael S Tomek | Otolaryngology | Ent Professional Services PC | 3385 Dexter Ct, Suite 101, Davenport, IA 52807-3471 |
| Street Address |
3385 DEXTER CT SUITE 101 |
| City | DAVENPORT |
| State | IA |
| Zip | 52807-3471 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tuvi Mendel | Orthopedic Surgery | Orthopaedic Specialists PC | 3385 Dexter Ct, Davenport, IA 52807-3471 |
| Randall E Boldt | Physical Therapy | Rock Valley Physical Therapy Center | 3385 Dexter Ct, Suite 203, Davenport, IA 52807-3471 |
| Jennifer Lynn Tyler | Physician Assistant | Orthopaedic Specialists PC | 3385 Dexter Ct, Davenport, IA 52807-3471 |
| Eric J Dippel | Interventional Cardiology | Vascular Institute of The Midwest PC | 3385 Dexter Ct, Davenport, IA 52807-3494 |
| Akshay K Mahadevia | Pulmonary Disease | Pulmonary Associates of Qc PC | 3385 Dexter Ct, Suite 105, Davenport, IA 52807-3494 |
| Jason S Strang | Physical Therapy | Orthopaedic Specialists PC | 3385 Dexter Ct, Davenport, IA 52807-3471 |
| Aaron T Schulze | Physician Assistant | Orthopaedic Specialists PC | 3385 Dexter Ct, Davenport, IA 52807-3471 |
| Douglas W Dvorak | Otolaryngology | Ent Professional Services PC | 3385 Dexter Ct, Suite 101, Davenport, IA 52807-3471 |
| Alex J Dragon | Physical Therapy | Rock Valley Physical Therapy Center | 3385 Dexter Ct, Suite 203, Davenport, IA 52807-3471 |
| Christine R Fluegel | Qualified Audiologist | Ent Professional Services PC | 3385 Dexter Ct, Suite 101, Davenport, IA 52807-3471 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine F Oswald | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Karen K Maves | Allergy/immunology | 2112 E 38th St, Davenport, IA 52807-1135 | |
| Robin R Peterson | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Robert L Koupal | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Wayne M Sliwa | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Judy H Prochaska | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Julia Marmion | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Jolene C Atkinson | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Robert Andrew Gillespie | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Jessica M Schultz | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Find all physicians in zip 52807 | |||
| City | DAVENPORT |
| Zip Code | 52807 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | DAVENPORT + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Ralph R Tyner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.