DR. JOHN WILLIAM TYRONE (NPI# 1063458768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063458768 |
| Entity Type | Individual |
| Full Name | DR. JOHN WILLIAM TYRONE |
| Credential | M.D. |
| Practice Address |
1204 Nw 69th Ter Ste. F Gainesville FL 32605-3158 |
| Practice Telephone | 3523321150 |
| Practice Fax Number | 3513321044 |
| Mailing Telephone | 3523321150 |
| Mailing Fax Number | 3513321044 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME89702 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | 37987Y | 01 |
| Street Address |
1204 NW 69TH TER STE. F |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-3158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548556459 | Megan Jurecko Gracy, Dmd | Dentist | 1204 Nw 69th Ter, Suite C, Gainesville, FL 32605-3158 | 2011-06-20 |
| 1336469758 | Cara Clark Hill | Dentist | 1204 Nw 69th Ter, Suite E, Gainesville, FL 32605-3158 | 2010-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225185028 | Donald J Campbell | Plastic Surgery | 1296 Sims St., Suite B, Gainesville, GA 30501-0001 | 2007-01-04 |
| 1548336886 | Mark Arlen Clayman | Plastic Surgery | 2206 Nw 4th Pl, Gainesville, FL 32603-1407 | 2006-11-28 |
| 1285682393 | Richard L Nesmith | Plastic Surgery | 6801 Nw 9th Blvd, Suite 2, Gainesville, FL 32605-4269 | 2006-05-04 |
| 1922497999 | Roger T. Brill, Md,facs,pa | Plastic Surgery | 6520 Nw 9th Blvd, Gainesville, FL 32605-4205 | 2015-01-14 |
| 1750721585 | Noah Harrison Prince | Plastic Surgery | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2013-06-25 |
| 1467719658 | Ellen Stolle Satteson | Plastic Surgery | 4037 Nw 86th Ter, Gainesville, FL 32606-9277 | 2012-04-12 |
| 1780940262 | Sarah Sorice Virk | Plastic Surgery | 4037 Nw 86th Ter, Gainesville, FL 32606-9277 | 2012-04-09 |
| 1871746263 | John S Poser Md Pa | Plastic Surgery | 720 Sw 2nd Ave, Suite 452, Gainesville, FL 32601-6271 | 2008-10-29 |
| 1306028238 | Northeast Georgia Plastic Surgery | Plastic Surgery | 1296 Sims St, Suite B, Gainesville, GA 30501-3850 | 2007-12-03 |
| 1508084062 | Dhruv Singhal | Plastic Surgery | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2007-04-23 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
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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.