DR. TYLER SHANE MCALLISTER (NPI# 1427542513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427542513 |
Entity Type | Individual |
Full Name | DR. TYLER SHANE MCALLISTER |
Credential | DPM |
Practice Address |
3801 Bellemeade Ave Ste 110 Evansville IN 47714-0111 |
Mailing Address |
7807 Saint Thomas Ct Newburgh IN 47630-9520 |
Practice Telephone | 8124857330 |
Mailing Telephone | 7025260609 |
Enumeration Date | 2018-06-21 |
Last Update Date | 2018-06-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
99086846A | IN | Podiatric Medicine & Surgery Service Providers |
Street Address |
3801 BELLEMEADE AVE STE 110 |
City | EVANSVILLE |
State | IN |
Zip Code | 47714-0111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275984643 | Jordan Gardner | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2016-06-28 |
1154933703 | St Mary's Medical Group, LLC | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2020-08-17 |
1487270401 | Braxton Facer | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2020-06-25 |
1679198436 | Joseph H Wilson | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2020-06-08 |
1427619915 | Jared Morgan Minson | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2019-06-25 |
1427543644 | Matthew David Jenkins | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2018-06-29 |
1316431521 | Michelle A Brandon | Nurse Practitioner | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2018-06-20 |
1437671740 | Derek E Slack | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2017-07-10 |
1760902233 | Christopher W. Hogue | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2017-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
Find all providers in zip 47714 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
1487270401 | Braxton Facer | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2020-06-25 |
1427619915 | Jared Morgan Minson | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2019-06-25 |
1407416472 | Logan Orr | Podiatrist | 3801 Bellemeade Ave, Evansville, IN 47714-0100 | 2019-06-20 |
1427543644 | Matthew David Jenkins | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2018-06-29 |
1437671740 | Derek E Slack | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2017-07-10 |
1760902233 | Christopher W. Hogue | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2017-06-26 |
1710394739 | Parmore Medical Services LLC | Podiatrist | 3700 Bellemeade Ave Ste 117, Evansville, IN 47714-0106 | 2014-07-22 |
1023458478 | Tyler J. Kelly | Podiatrist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2013-06-30 |
1457615064 | Christopher Scott Jetter | Podiatrist | 3801 Bellemeade Ave, Evansville, IN 47714-0100 | 2012-06-28 |
Find all providers in EVANSVILLE |
City | EVANSVILLE |
Zip Code | 47714 |
Please comment or provide details below to improve the information on DR. TYLER SHANE MCALLISTER.
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.