Thomas John Tinnesz, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

R-3688 Issued in AR

Practice address

719 Detroit Street
Danville, AR 72833

Phone

(479) 495-2241

Fax

(479) 495-6299

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ouachita Surgical Services Inc

  • Specialist
  • Mena, AR
  • NPI 1760429666
  NPD (past) Authorized official
• John Ed Chambers Memorial Hospital, Inc

  • Psychiatric Hospital Unit
  • Danville, AR
  • NPI 1275029480
  NPD
• John Ed Chambers Memorial Hospital, Inc

  • Primary Care Clinic/Center
  • Plainview, AR
  • NPI 1871852434
  NPD
• John Ed Chambers Memorial Hospital, Inc.

  • Emergency Care Clinic/Center
  • Danville, AR
  • NPI 1154358307
  NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1649223033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728330639",
            "telephone_number": "479-495-2241",
            "fax_number": "479-495-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 DETROIT STREET",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "72833",
            "telephone_number": "479-495-2241",
            "fax_number": "479-495-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNESZ",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "R-3688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA",
            "identifier": "710800715",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112619001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50830",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "710800715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020035810",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100018580A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "710800715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVASYS",
            "identifier": "710800715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "710800715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORESOURCE",
            "identifier": "710800715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA HEALTH SYSTEM",
            "identifier": "710800715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• State of Arkansas
• Super D Drugs Acquisition Co
• Super RX Medical Supply
• Amanda J. Swint, LPTA
• Natalie Danielle Tarte
• Tippin Family Medicine Clinic, P. a.
• Philip Brian Tippin, M.D.
• Valerie Traenkenschuh, SLP
• Marirose E Ussery, OTRL
• Misty Vick

• Specialist in Danville, AR
• Providers in Danville, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.