Tynetta Magee, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

09-270 Issued in IN

Practice address

15 Forestdale Park
Calumet City, IL 60409-5308

Phone

(708) 487-6556

Fax

(708) 933-3470

NPI assigned

Sep 24, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tynetta Magee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• T'S Surgical Assisting LLC

  • General Acute Care Hospital
  • Calumet City, IL
  • NPI 1184958027
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1083948921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 W 91ST CT",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105935",
            "telephone_number": "219-973-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FORESTDALE PARK",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095308",
            "telephone_number": "708-487-6556",
            "fax_number": "708-933-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGEE",
        "first_name": "TYNETTA",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IN",
            "license": "09-270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYNETTA",
            "last_name": "MAGEE",
            "credential": "SA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Surgical Assistant in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.