Tynes Emery Mixon III, MD

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

020891 Issued in LA

Practice address

426 Charles St
New Iberia, LA 70560-3707

Phone

(337) 365-4156

Fax

(337) 365-4192

NPI assigned

Sep 27, 2005

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 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OtolaryngologyAlso: Allergy/Immunology, Maxillofacial Surgery, Plastic and Reconstructive Surgery

Education

Louisiana State University School of Medicine in New Orleans, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tynes Mixon, III MD ApmcGroup PAC ID 8527062686, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iberia Medical Center Hospital, New Iberia, LA, CCN 190054
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
• Bayou Bend Health System Hospital, Franklin, LA, CCN 191310

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Tynes Mixon, III MD Apmc

  • Otolaryngology Physician
  • New Iberia, LA
  • NPI 1720005754

  LA, Otolaryngology

  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District No 1 of Iberia Parish

  • Rehabilitation Hospital Unit
  • New Iberia, LA
  • NPI 1992159925

  Hospital

  Care Compare affiliation
• Hospital Service District No. 1 of Iberia Parish

  • General Acute Care Hospital
  • New Iberia, LA
  • NPI 1285601088

  Hospital

  Care Compare affiliation
• Hospital Service District No. 1 of the Parish of St. Mary

  • Critical Access Hospital
  • Franklin, LA
  • NPI 1043218365

  Hospital

  Care Compare affiliation
• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799

  Hospital

  Care Compare affiliation
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1962498683",
    "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": {
        "last_name": "MIXON",
        "first_name": "TYNES",
        "middle_name": "EMERY",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "LA",
            "license": "020891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1680095",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arlene A. Millet, P.T.A.
• Tori Manuel Mire, ANP
• Jamila A Mitchell, DDS
• Jerrilyn Mitchell
• Shannon Mitchell
• Brandy Lawson Molbert, FNP
• Karina Monk
• Charles A Moore, M.D.
• Morgan & Associates
• Jeannine Fitch Morris, LCSW, ACSW

• Otolaryngology/Facial Plastic Surgery Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.
• 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.