MS. TYSHAN AUSTIN OATES (NPI# 1760617708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760617708 |
Entity Type | Individual |
Full Name | MS. TYSHAN AUSTIN OATES |
Credential | PA |
Practice Address |
9111 Park Dr Miami Shores FL 33138-3159 |
Practice Telephone | 3057566110 |
Practice Fax Number | 3057591255 |
Mailing Telephone | 3057566110 |
Mailing Fax Number | 3057591255 |
Enumeration Date | 2009-05-20 |
Last Update Date | 2013-05-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9104993 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICAL LICENSE | PA 9104993 | 01 |
Street Address |
9111 PARK DR |
City | MIAMI SHORES |
State | FL |
Zip Code | 33138-3159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205833381 | Carlos Omenaca | Internal Medicine | 9111 Park Dr, Miami Shores, FL 33138-3159 | 2005-07-05 |
1114472529 | Elyana Mitchell | Nurse Practitioner | 9111 Park Dr, Miami Shores, FL 33138-3159 | 2016-08-16 |
1730259649 | Vilmed Inc | Internal Medicine | 9111 Park Dr, Miami Shores, FL 33138-3159 | 2006-11-08 |
1295747772 | Maria Gabriela Ale-castro | Internal Medicine | 9111 Park Dr, Miami Shores, FL 33138-3159 | 2006-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801359559 | Kenneth Wayne Roberts | Student in an Organized Health Care Education/Training Program | Aventura Hospital & Medical Center, 20900 Biscayne Blvd, Aventura, FL 33138 | 2019-04-10 |
1073081121 | Speak E-z Therapy LLC | Clinic/Center | 1040 Ne 86th St, Miami, FL 33138 | 2018-11-07 |
1841795747 | Maria Virginia Gomez Padron | General Practice | 7858 Ne 2nd Ave Fl 33138, Miami, FL 33138 | 2018-03-24 |
1760991780 | A Star Companion, Inc | In Home Supportive Care | 9628 N.e 2 Ave Suite A4, Miami Shores, FL 33138 | 2017-09-21 |
1598114241 | Cynthia K Monroe | Behavior Technician | 6723 Ne Miami Place, Miami, FL 33138 | 2016-06-03 |
1386019701 | Claudio Bandiera | Physical Therapist | 8030 Ne 5th Ave Ste 4, Miami, FL 33138 | 2015-12-10 |
1477942845 | Mahfar, LLC | Pharmacy | 6301 Biscayne Blvd #101, Miami, FL 33138 | 2015-01-22 |
1043641137 | Nicolas Ledon | Counselor | 9999 Ne 2nd Ave Ste 311, Miami Shores, FL 33138 | 2013-11-27 |
1427326487 | Carevantage Medical Centers of Miami Shores, LLC | General Practice | 9726-30 Ne 2 Ave, Miami Shores, FL 33138 | 2011-12-06 |
1013212166 | Anabelle Maldonado-medina M.d P A | Specialist | 9999 Ne 2nd Ave Ste 208, Miami Shores, FL 33138 | 2011-01-21 |
Find all providers in zip 33138 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609956119 | Jorge Padilla | Physician Assistant | 92 Nw 100th Ter, Miami Shores, FL 33150-1208 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
Find all providers with the same taxonomy |
City | MIAMI SHORES |
Zip Code | 33138 |
Please comment or provide details below to improve the information on MS. TYSHAN AUSTIN OATES.
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.