DEMARCUS TYLER (NPI# 1609401066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609401066 |
| Entity Type | Individual |
| Full Name | DEMARCUS TYLER |
| Practice Address |
5526 Belair Rd Baltimore MD 21206-3614 |
| Mailing Address |
818 Wingsail Ct Joppa MD 21085-3323 |
| Practice Telephone | 4103021633 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
5526 BELAIR RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21206-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370601 | Tates Health Care, LLC | Nursing Care | 7303 Beech Ave, Baltimore, MD 21206 | 2019-08-02 |
| 1962912444 | Meagan Carreira | Occupational Therapy Assistant | 5009 Frankfurt Avenue, Baltimore, MD 21206 | 2017-10-10 |
| 1821511551 | Anu Healthcare Services Inc | Psychiatry & Neurology | 4809 Belair Road, Baltimore, Maryland, MD 21206 | 2017-07-25 |
| 1447704648 | Belair Health Solutions, Inc | Counselor | 4825 Belair Rd., Baltimore, MD 21206 | 2016-08-05 |
| 1053716563 | Paule Kengne | Home Health Aide | 4602 Willshire Ave, Baltimore, MD 21206 | 2014-10-27 |
| 1821408733 | Shana Gee | Technician | 4238 Seidel Ave, Baltimore, MD 21206 | 2014-04-30 |
| 1902236524 | Heidi Ann Smith | Physical Therapist | 3910 Chesley Avenue, Baltimore, MD 21206 | 2013-11-18 |
| 1891138277 | Kenyona N Davis | Social Worker | 5622 Remmell Ave Unit F, Baltimore, MD 21206 | 2013-04-16 |
| 1497095368 | Aderonke Ogunsua | Home Health Aide | 4430 Moravia Rd Apt10, Baltimore, MD 21206 | 2013-02-28 |
| 1902173974 | Jennifer Lea Reed | Social Worker | 5901 Benton Heights Avenue, Baltimore, MD 21206 | 2011-11-19 |
| Find all providers in zip 21206 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558473 | Teraga Gross | Specialist | 5201 Ivanhoe Ave, Baltimore, MD 21212-4322 | 2020-04-29 |
| 1912538976 | Latreshia Shanae Maximo- Bowman | Specialist | 5441 Baltimore National Pike Ste 2a, Baltimore, MD 21229-2102 | 2020-01-29 |
| 1659837797 | Blush Beauty Bar, Inc. | Specialist | 5449 Belair Rd, Baltimore, MD 21206-4209 | 2019-02-13 |
| 1972080083 | Yalmikia N Edmonds | Specialist | 2838 Frederick Ave, Baltimore, MD 21223-2711 | 2018-07-21 |
| 1043708902 | Brandi Campbell | Specialist | 2 Brucetown Ct, Baltimore, MD 21228-2509 | 2018-04-26 |
| 1326585837 | Sheila Arrington | Specialist | 2429 Saint Paul St Apt 1, Baltimore, MD 21218-5108 | 2017-01-22 |
| 1184091126 | Ife Semper | Specialist | 2141 Mount Holly St, Baltimore, MD 21216-2430 | 2015-08-25 |
| 1821248808 | Faith Irene Mitchell | Specialist | 2511 Hermosa Ave, Baltimore, MD 21214-2540 | 2008-09-25 |
| 1417587726 | Deidre Lanae Bowman | Specialist | 5441 Baltimore National Pike, Baltimore, MD 21229-2102 | 2020-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153633 | Katreia Chareece White | Specialist | 5612 Saint Barnabas Rd, Oxon Hill, MD 20745-3626 | 2020-10-27 |
| 1437766482 | Natalyn Obey | Specialist | 10095 Washington Blvd N Ste 134, Laurel, MD 20723-1968 | 2020-09-24 |
| 1013528686 | Melissa Hammond | Specialist | 595 Main St Ste 235a, Laurel, MD 20707-4352 | 2020-08-16 |
| 1497373492 | Irene Marie Watkins | Specialist | 595 Main St Ste 235, Laurel, MD 20707-4352 | 2020-07-07 |
| 1073138285 | Andria Jackson | Specialist | 9560 Marlboro Pike Ste 105, Upper Marlboro, MD 20772-3770 | 2020-06-12 |
| 1467074849 | Martha Tanesha Hines | Specialist | 3407 Fort Meade Rd Ste 14, Laurel, MD 20724-2003 | 2020-05-08 |
| 1275168312 | Barry Staten | Specialist | 2323 Shadyside Ave, Suitland, MD 20746-4827 | 2020-03-09 |
| 1790316206 | Antjuan Mandwell Bunn | Specialist | 8147 Baltimore Ave Ste C, College Park, MD 20740-2492 | 2020-02-03 |
| 1427695717 | Lori A Donoho | Specialist | 6378 Coventry Way, Clinton, MD 20735-2256 | 2019-12-05 |
| 1346886173 | Robin T Tittley | Specialist | 1133 East West Highway (inside Sola Salon #14), Silver Spring, MD 20910-2091 | 2019-11-27 |
| Find all providers with the same taxonomy | ||||
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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.