Active NPI
Ryan Martin Tyner, PA
- Physician Assistant
- Memphis, TN
National Provider Identifier
1710583596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6799 Great Oaks Rd Ste 100
Memphis, TN 38138-2571 - Phone
- (901) 751-0405
- NPI assigned
- Dec 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
6799 Great Oaks Rd Ste 100
Memphis, TN 38138-2571
Mailing address
3838 Center Hill CV
Olive Branch, MS 38654-8713
Phone (901) 605-6859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memphis Cardiovascular Center | Past | Accepting new patients |
Interoperability endpoints
- rtyner32517@mlh.direct-ci.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1508027491
-
- Emergency Medicine Physician
- Germantown, TN
- NPI 1518747526
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1801677083
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1609657873
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1023899291
-
- Emergency Medicine Physician
- Olive Branch, MS
- NPI 1730969734
-
- Cardiovascular Disease Physician
- Memphis, TN
- NPI 1063873909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1710583596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 CENTER HILL CV",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386548713",
"telephone_number": "901-605-6859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6799 GREAT OAKS RD STE 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381382571",
"telephone_number": "901-751-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNER",
"first_name": "RYAN",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-08",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.