MARY P. TYREE (NPI# 1366488249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366488249 |
| Entity Type | Individual |
| Full Name | MARY P. TYREE |
| Credential | P.A. |
| Practice Address |
950 First Street South Winter Haven FL 33880 |
| Mailing Address |
2600 S Douglas Rd Ste 308 Coral Gables FL 33134-6134 |
| Practice Telephone | 8632955604 |
| Practice Fax Number | 8632955398 |
| Mailing Telephone | 5612443643 |
| Mailing Fax Number | 8636066737 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9102323 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P00355216 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003264268 | Mary H Tyree | Specialist | 53 Kettles Way, Queensbury, NY 12804-6412 | 2016-05-28 |
| Street Address |
950 FIRST STREET SOUTH |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| Find all providers in zip 33880 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021101 | Brinkley Alexis Trueheart | Physician Assistant | 400 Avenue K Se Ste 11, Winter Haven, FL 33880-4145 | 2019-09-07 |
| 1063733376 | Elizabeth Margaret Ennis | Physician Assistant | 550 Pope Ave Nw Ste 200, Winter Haven, FL 33881-4679 | 2010-06-21 |
| 1548594492 | Trusha Patel | Physician Assistant | 950 Frist Street South, Winter Haven, FL 33880 | 2009-09-24 |
| 1447404041 | Timothy D Nguyen | Physician Assistant | 400 1st St N, Winter Haven, FL 33881-4115 | 2008-11-10 |
| 1740844604 | Brittany S Schley | Physician Assistant | 500 E Central Ave, Winter Haven, FL 33880-3094 | 2019-04-26 |
| 1952775462 | Melissa Anne Shaw | Physician Assistant | 1450 6th St Se, Winter Haven, FL 33880-4505 | 2015-11-20 |
| 1750787123 | Emily R Sullivan | Physician Assistant | 550 Pope Ave Nw, Winter Haven, FL 33881-4679 | 2014-11-13 |
| 1033514450 | Lazaro Yadier Guerrero | Physician Assistant | 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881-4131 | 2014-10-28 |
| 1336498344 | Emergency Care LLC | Physician Assistant | 141 Avenue C Sw, Suite 160, Winter Haven, FL 33880-3258 | 2012-09-05 |
| 1558622100 | Laura Ann Mackley | Physician Assistant | 601 1st St N, Winter Haven, FL 33881-4129 | 2012-05-30 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
Please comment or provide details below to improve the information on MARY P. TYREE.
| 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.