Tyson R Kinnick (NPI# 1881019925, PAC ID# 3476785577) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1881019925 |
| PAC ID by PECOS | 3476785577 |
| Professional Enrollment ID | I20160426000346 |
| Full Name | Tyson R Kinnick |
| Organization Legal Name | KNOX CLINIC CORP |
| Address |
834 N Seminary St Galesburg IL 61401-0500 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6305813411 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140040 | GALESBURG COTTAGE HOSPITAL |
| 140089 | MC DONOUGH DISTRICT HOSPITAL |
| 141318 | OSF HOLY FAMILY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 695 N Kellogg St, Galesburg, IL 61401-2807 | 3093454586 | KNOX CLINIC CORP |
| 834 N Seminary St, Galesburg, IL 61401-0500 | KNOX CLINIC CORP | |
| 834 N Seminary St, Suite 102, Galesburg, IL 61401-2897 | 3093420194 | KNOX CLINIC CORP |
| Organization Legal Name | KNOX CLINIC CORP |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosa Maribel Leland | Nurse Practitioner | Knox Clinic Corp | 2 Americinn Way B, Monmouth, IL 61462-9416 |
| Mark E Davis | General Surgery | Knox Clinic Corp | 834 N Seminary, Suite 501, Galesburg, IL 61401-0501 |
| Mark Deyoung | Family Medicine | Knox Clinic Corp | 904 E Main, Galesburg, IL 61401-3954 |
| Robert E Currie | Family Medicine | Knox Clinic Corp | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2898 |
| Carl E Strauch | Internal Medicine | Knox Clinic Corp | 834 N Seminary St, Suite 303, Galesburg, IL 61401-2899 |
| Keith E Peachey | Family Medicine | Knox Clinic Corp | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2898 |
| Lorraine A Garland | Obstetrics/gynecology | Knox Clinic Corp | 834 N Seminary St, Suite 302, Galesburg, IL 61401-2899 |
| Gregory A. Schierer | Orthopedic Surgery | Knox Clinic Corp | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2898 |
| Bethany L Glaser | Physician Assistant | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-2899 |
| Marc S Katchen | Neurology | Knox Clinic Corp | 765 N Kellogg St, Suite 205, Galesburg, IL 61401-2859 |
| Street Address |
834 N SEMINARY ST |
| City | GALESBURG |
| State | IL |
| Zip | 61401-0500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Currie | Family Medicine | Knox Clinic Corp | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2898 |
| Carl E Strauch | Internal Medicine | Knox Clinic Corp | 834 N Seminary St, Suite 303, Galesburg, IL 61401-2899 |
| Robert M Quilleash | Optometry | Gailey Eye Clinic, Ltd | 834 N Seminary St, Suite 103, Galesburg, IL 61401-2897 |
| Keith E Peachey | Family Medicine | Knox Clinic Corp | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2898 |
| Lorraine A Garland | Obstetrics/gynecology | Knox Clinic Corp | 834 N Seminary St, Suite 302, Galesburg, IL 61401-2899 |
| Gregory A. Schierer | Orthopedic Surgery | Knox Clinic Corp | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2898 |
| Bethany L Glaser | Physician Assistant | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-2899 |
| Christina Jane Chambers | Nurse Practitioner | Knox Clinic Corp | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2898 |
| Denise M Johnson Dechow | Psychiatry | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0500 |
| Kristen M Lee | Physician Assistant | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-2899 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yekaterina Fayn | Internal Medicine | Knox Clinic Corp | 834 N Seminary St, Suite 404, Galesburg, IL 61401-0500 |
| Harsha S Mehta | Family Practice | Knox Clinic Corp | 834 N Seminary St, Suite 404, Galesburg, IL 61401-0500 |
| Shrikant A Mehta | Family Practice | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0500 |
| Mark E Davis | General Surgery | Knox Clinic Corp | 834 N Seminary, Suite 501, Galesburg, IL 61401-0501 |
| Kimberly A Cheek | Nurse Practitioner | Knox Clinic Corp | 834 N Seminary St, Suite 502, Galesburg, IL 61401-0501 |
| Amy Mefford | Certified Nurse Midwife | Knox Clinic Corp | 834 N Seminary, Suite 501, Galesburg, IL 61401-0501 |
| Daniel K Piper | Obstetrics/gynecology | Knox Clinic Corp | 834 N Seminary St, Suite 502, Galesburg, IL 61401-0501 |
| Yufan Chen | Obstetrics/gynecology | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0501 |
| Vladimir Strunin | Obstetrics/gynecology | Osf Multi-specialty Group | 3315 N Seminary St, Galesburg, IL 61401-1224 |
| Linda M Auer | Ophthalmology | Osf Multi-specialty Group | 3315 N Seminary St, Galesburg, IL 61401-1224 |
| Find all physicians in zip 61401 | |||
| City | GALESBURG |
| Zip Code | 61401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GALESBURG + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tyson R Kinnick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.