Active NPI
Tyanne Lee Dosh, M.D., M.S.
- Psychiatry Physician
- Marquette, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 43423
- Practice address
- 580 W College Ave
Marquette, MI 49855-2736 - Phone
- (906) 225-3895
- Fax
- (906) 225-4562
- NPI assigned
- Jul 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 43423 | KY | Primary |
Addresses
Primary practice location
580 W College Ave
Marquette, MI 49855-2736
Mailing address
26374 Network PL
Chicago, IL 60673-1263
Phone (906) 225-3895
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043473655 | Medicaid | MI | |
| 7100133350 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110708000466 | MI | Practitioner - Psychiatry | 3173719838 | Reassigns benefits to 1 organization |
| I20241018002784 | WI | Practitioner - Psychiatry | 3173719838 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
831 Parker Ave
Algoma, WI 54201-1808
Phone (920) 433-3640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43423 | KY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Psychiatric Center Inc. | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc | Psychiatry | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Past | Accepting new patients |
Locations
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
1414 W Fair Ave
Ste 344
Marquette, MI 49855
Phone (906) 225-3910
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
831 Parker Ave
Algoma, WI 54201
Phone (920) 487-3084
1325 Angels Path
De Pere, WI 54115
Phone (920) 338-2855
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
301 Saint Joseph St
Green Bay, WI 54301
Phone (920) 430-3630
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Interoperability endpoints
- tdosh308223@direct.thedacare.org
- tdosh925400@direct.emplifyhealth.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
MI
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1952554800
Psychiatry, WI
-
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1104022128
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1598728776
-
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
- Rural Health Clinic/Center
- Lakewood, WI
- NPI 1790284438
-
- Counselor
- Marquette, MI
- NPI 1730437245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1043473655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26374 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731263",
"telephone_number": "906-225-3895",
"fax_number": "906-225-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W COLLEGE AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552736",
"telephone_number": "906-225-3895",
"fax_number": "906-225-4562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSH",
"first_name": "TYANNE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "43423",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043473655",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100133350",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.