JOHN PHILLIP TYNDALL (NPI# 1174554554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174554554 |
| Entity Type | Individual |
| Full Name | JOHN PHILLIP TYNDALL |
| Credential | MD |
| Practice Address |
1717 S Calhoun St Fort Wayne IN 46802-5257 |
| Practice Telephone | 2604582641 |
| Practice Fax Number | 2604583093 |
| Mailing Telephone | 2604582641 |
| Mailing Fax Number | 2604583093 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
01020200A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
1717 S CALHOUN ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46802-5257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810656 | Ronald R Hall | Pediatrics | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2005-06-10 |
| 1558960179 | Omolola Beaird | Nurse Practitioner | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2020-10-24 |
| 1689287518 | Brianna Rae Pool | Nurse Practitioner | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2020-08-29 |
| 1851916274 | Kelly Marie Vandemark | Nurse Practitioner | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2020-06-11 |
| 1922631332 | Neighborhood Health Clinics, Inc | Community/Behavioral Health | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2020-02-14 |
| 1821646795 | Marta E. Wrobleski | Nurse Practitioner | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2019-09-03 |
| 1912462698 | Lormekia Al'mata Warren | Nurse Practitioner | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2019-02-06 |
| 1720599988 | Neighborhood Health Clinics, Inc | Optometrist | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2017-10-16 |
| 1801324470 | Kristen Nicole Brunner | Dentist | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2017-05-26 |
| 1043766421 | Allison Treleaven | Optometrist | 1717 S Calhoun St, Fort Wayne, IN 46802 | 2016-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1699260182 | Tina Huffman Counseling Services LLC | Clinic/Center | 2323 111 W. Berry St., Fort Wayne, IN 46802 | 2018-06-27 |
| 1669879664 | Neighborhood Health Clinics, Inc | Clinic/Center | 1721 S Calhoun St, Fort Wayne, IN 46802 | 2014-11-20 |
| 1205272168 | Tyler Jerome Kimmel | Dentist | 1717 S. Calhoun Street, Fort Wayne, IN 46802 | 2013-05-20 |
| 1174899405 | Hearcare Connection, Inc. | Audiologist | 130 W Main St Ste 150, Fort Wayne, IN 46802 | 2012-03-30 |
| 1801114533 | Hoosier Sports & Chiropractic LLC | Chiropractor | 122 W Wayne Street, Fort Wayne, IN 46802 | 2010-05-05 |
| 1891912523 | Krista Lohmar | Speech-Language Pathologist | 3340 North Washington Road, Ft. Wayne, IL 46802 | 2007-04-20 |
| 1811047608 | Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. | Counselor | 915 South Clinton, Fort Wayne, IN 46802 | 2007-01-12 |
| 1548323801 | Clifford T Salk | Dentist | 122 W Washington Blvd, Fort Wayne, IN 46802 | 2006-12-18 |
| 1720155492 | Kristina Wise | Social Worker | 203 W Wayne St Ste 317, Fort Wayne, IN 46802 | 2006-11-29 |
| Find all providers in zip 46802 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780970251 | Emily C Baltes | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2011-06-23 |
| 1609047026 | Sandra A Krizmanich | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033443106 | Munster Medical Research Foundatio | Obstetrics & Gynecology | 3545 Arbors Street, Portage, IN 46368-4297 | 2009-09-23 |
| 1154468270 | Daniel H Davis | Obstetrics & Gynecology | 2450 Northpark, Suite A, Columbus, IN 47203 | 2007-01-30 |
| 1528174604 | Richard Lewis Hinchman | Obstetrics & Gynecology | 6756 Mcfarland Rd, Indianapolis, IN 46227-7718 | 2006-08-22 |
| 1154345775 | Cindy Maiden Basinski | Obstetrics & Gynecology | 4199 Gateway Blvd Ste 2200, Newburgh, IN 47630-8965 | 2006-07-27 |
| 1427094911 | Victoria L Potoczak | Obstetrics & Gynecology | 3618 S 4th St, Terre Haute, IN 47802-5543 | 2006-06-22 |
| 1376543926 | Patrick A Pontee | Obstetrics & Gynecology | 5500 Hohman Ave, Hammond, IN 46320-1965 | 2005-07-26 |
| 1417956756 | Starla D Graber | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2005-07-19 |
| 1528623824 | 219 Health Network Inc | Obstetrics & Gynecology | 3432 169th St, Hammond, IN 46323-2542 | 2019-05-02 |
| 1861937419 | Jennifer Irene Wakeland Bigelow Md | Obstetrics & Gynecology | 461 Town Center St N, Mooresville, IN 46158-2316 | 2017-01-05 |
| 1871974337 | Functional Medicine of Carmel Inc. | Obstetrics & Gynecology | 755 W Carmel Dr, Suite 212, Carmel, IN 46032-5877 | 2015-06-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46802 |
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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.