Active NPI
Thomas G Tyner, CRNA
- Certified Registered Nurse Anesthetist
- Orangeburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3012
- Practice address
- 3000 St Matthews Rd
Orangeburg, SC 29118-1442 - Phone
- (803) 395-2200
- NPI assigned
- Aug 14, 2006
- Last updated
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3012 | SC | Primary |
Addresses
Primary practice location
3000 St Matthews Rd
Orangeburg, SC 29118-1442
Mailing address
PO Box 1245
Orangeburg, SC 29116-1245
Phone (803) 395-4499
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000194021 | Other | SC | UNISON |
| 5S867 | Other | LA | MEDICAE PART B |
| 576008010015 | Other | SC | TRICARE |
| AN1516 | Medicaid | SC | |
| 576008010006 | Other | SC | BLUE CHOICE |
| MM5083 | Other | ME | MEDICARE PART B |
| 20056087 | Other | SC | FIRST CHOICE |
| 576008010009 | Other | SC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012 | NC | MD | Massage Therapist |
| 3012 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Centers of Urology and Surgery LLC | Current | Accepting new patients | |
| Palmetto Gastroenterology & Hepatology, PA | Current | Accepting new patients | |
| The Blue Hill Memorial Hospital | Past | Accepting new patients | |
| Penobscot Valley Hospital | Past | Accepting new patients | |
| Pain Management, LLC | Past | Accepting new patients | |
| North American Partners in Anesthesia New Hampshire LLP | Past | Accepting new patients | |
| Seacoast Anesthesia PA | Past | Accepting new patients | |
| Anesthesia Network Services, LLC | Past | Accepting new patients | |
| Cape Cod Anesthesia Associates, Inc. | Past | Accepting new patients | |
| Spectrum Healthcare Partners, PA | Past | Accepting new patients | |
| Norumbega Medical Specialists, LTD | Past | Accepting new patients | |
| Carolina Anesthesiology Associates PA | Past | Accepting new patients | |
| Carolina Anesthesiology Associates PA | Past | Accepting new patients |
Locations
103 Gregg Ave NW
Aiken, SC 29801
Phone (803) 226-0799
103 Gregg Ave NW
Ste 100
Aiken, SC 29801
Phone (803) 226-0799
822 Farrar Dr
Conway, SC 29526
Phone (843) 347-9587
Interoperability endpoints
- https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
- https://fhir-usa.unify.chbase.com/org/penob-eadbba22
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rivertown Surgery Center
- Ambulatory Surgical Clinic/Center
- Conway, SC
- NPI 1932274743
-
- Specialist
- Aiken, SC
- NPI 1972786846
-
dba Anesthesiology Consultants
- Anesthesiology Physician
- Columbia, SC
- NPI 1821589938
-
- Anesthesiology Physician
- Columbia, SC
- NPI 1851486781
-
- Interventional Pain Medicine Physician
- Mount Pleasant, SC
- NPI 1104914076
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1508199142
-
- Anesthesiology Physician
- Hyannis, MA
- NPI 1659308021
-
- Anesthesiology Physician
- Nashua, NH
- NPI 1306838701
-
- Health Service Clinic/Center
- Brewer, ME
- NPI 1780821140
-
- Critical Access Hospital
- Lincoln, ME
- NPI 1093716086
-
- Anesthesiology Physician
- Exeter, NH
- NPI 1457306367
-
dba Spectrum Radiology North
- Diagnostic Radiology Physician
- Bangor, ME
- NPI 1710993159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1720091390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1245",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291161245",
"telephone_number": "803-395-4499",
"fax_number": "803-395-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ST MATTHEWS RD",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291181442",
"telephone_number": "803-395-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNER",
"first_name": "THOMAS",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "3012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000194021",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAE PART B",
"identifier": "5S867",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "576008010015",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1516",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "576008010006",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "MM5083",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CHOICE",
"identifier": "20056087",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "576008010009",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.