Individual provider Active NPI

Tyanne Lee Dosh, M.D., M.S.

  • Psychiatry Physician
  • Marquette, MI
National Provider Identifier
1043473655
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
43423 Issued in KY
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

Updated by the provider on May 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1043473655MedicaidMI
7100133350MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

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

LicenseStateTypeSpecialty
43423KYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Psychiatric Center Inc. CurrentSince Aug 9, 2024 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Aug 9, 2024 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Aug 9, 2024 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Aug 9, 2024 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 CurrentSince Sep 4, 2012 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 4, 2012 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Aug 9, 2024 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

  • Direct secure messaging: tdosh308223@direct.thedacare.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.