Tynes Mixon, III MD Apmc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

TYNES MIXON, III MD APMC

Practice address

426 Charles St
New Iberia, LA 70560-3707

Phone

(337) 365-4156

Fax

(337) 365-4192

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tynes Emery Mixon III, M.D.NPI 1962498683

Title

Physician

Phone

(337) 365-4156

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ENT of Acadiana Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tynes Emery Mixon III, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • New Iberia, LA
  • NPI 1962498683
  Medicare reassignment Care Compare group NPD Authorized official
• Rebecca Sayer, APRN

  • Adult Health Nurse Practitioner
  • New Iberia, LA
  • NPI 1750604625
  Medicare reassignment Care Compare group NPD
• Harold G Bienvenu III, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • New Iberia, LA
  • NPI 1497709307
  Medicare reassignment NPD
• Jamie Guillot, APRN, FNP-C

  • Family Nurse Practitioner
  • New Iberia, LA
  • NPI 1902251184
  Medicare reassignment NPD
• Kaylan Beryle Schexnyder, FNP

  • Family Nurse Practitioner
  • Carencro, LA
  • NPI 1669994794
  Medicare reassignment NPD
• Christopher Moore Gaffga, M.D.

  • Otolaryngology Physician
  • Marshall, MI
  • NPI 1417977570

  LA

  Medicare reassignment NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1720005754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 CHARLES ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603707",
            "telephone_number": "337-365-4156",
            "fax_number": "337-365-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 CHARLES ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603707",
            "telephone_number": "337-365-4156",
            "fax_number": "337-365-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYNES MIXON, III MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "MIXON",
        "authorized_official_first_name": "TYNES",
        "authorized_official_middle_name": "EMERY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-365-4156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445282",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT of Acadiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phuong Kim Tran, PHARM D
• Thao Tran
• Traveling Hearts of South Louisiana LLC
• Claude Tremblay, P.T., D.P.T.
• Michael P Tuite, DDS
• Kubiat Effiong Udoh, MD
• Tabitha Underwood, NP
• Richard Andrew Vanbergen, M.D.
• Timbacka Vangure
• Jason Ward Varnado, DDS

• Otolaryngology Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Otolaryngology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.