TYLER ALLEY (NPI# 1639543374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639543374 |
| Entity Type | Individual |
| Full Name | TYLER ALLEY |
| Practice Address |
4267 Monroe St Ecorse MI 48229-1519 |
| Practice Telephone | 3132362881 |
| Mailing Telephone | 3132362881 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 121773384 | TN | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS COMPLETE | 0091158406 | 01 |
| Street Address |
4267 MONROE ST |
| City | ECORSE |
| State | MI |
| Zip Code | 48229-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588107171 | Devoted Transportation Inc. | Non-emergency Medical Transport (VAN) | 3865 W Jefferson Ave, Ecorse, MI 48229 | 2016-11-30 |
| 1093187577 | Orchard Afc | Custodial Care Facility | 73 Orchard Street, Ecorse, MI 48229 | 2015-10-23 |
| 1780060434 | Jason John Hawkins | Home Health Aide | 18 E Glenwood, Ecorse, MI 48229 | 2015-08-05 |
| 1871866475 | Positive Images | Substance Abuse Rehabilitation Facility | 13336 E.warren, Detroit, MI 48229 | 2012-02-14 |
| 1508964255 | Dean's Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4328 7th Street, 4329 7th Street, Ecorse, MI 48229 | 2006-09-20 |
| 1023124120 | Downriver Industrial Clinic PC | Chiropractor | 4005 W Jefferson Avenue, Ecorse, MI 48229 | 2006-08-22 |
| 1780021147 | Susan Ann Barnes | Registered Nurse | 4488 1st St, Ecorse, MI 48229-1027 | 2013-05-25 |
| 1033267265 | Christine Anne Miller | Specialist/Technologist | 4267 6th St, Ecorse, MI 48229-1109 | 2007-01-05 |
| 1417476151 | Jacquelyn Clemons | Student in an Organized Health Care Education/Training Program | 4300 6th St, Ecorse, MI 48229-1110 | 2017-09-13 |
| 1770070872 | Tiffany Sparks | Licensed Practical Nurse | 4170 16th St, Ecorse, MI 48229-1239 | 2018-04-16 |
| Find all providers in zip 48229 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938001 | Thomas Merkle | Emergency Medical Technician, Basic | 1036 Bowen Ln, Quincy, MI 49082-8407 | 2020-06-25 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1780225169 | Clarissa Marie Baraiac | Emergency Medical Technician, Basic | 26366 Wolverine St, Madison Heights, MI 48071-3714 | 2019-10-07 |
| 1265092589 | Mari I Debolt | Emergency Medical Technician, Basic | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-18 |
| 1265919120 | Samuel Lee Buckley IIi | Emergency Medical Technician, Basic | 1200 N Telegraph Rd # Bdlg32e, Pontiac, MI 48341-1032 | 2018-07-24 |
| 1144737594 | Taylor Hoekwater | Emergency Medical Technician, Basic | Central Michigan University Health Professions Ofc 1205, Mount Pleasant, MI 48859-0001 | 2018-01-08 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1497122881 | Kyle Andre St. Peter | Emergency Medical Technician, Basic | 41641 Utica Rd, Sterling Heights, MI 48313-3264 | 2015-09-01 |
| 1205242294 | Pennfield Twp Fire Dept | Emergency Medical Technician, Basic | 20260 Capital Ave Ne, Battle Creek, MI 49017-9727 | 2014-07-10 |
| 1669731998 | Michael Anthony Wilk | Emergency Medical Technician, Basic | 188 W Spruce St, Saint Ignace, MI 49781-1649 | 2012-05-07 |
| 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.