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JOHN PHILLIP TYNDALL MD NPI 1174554554


NPI Information

NPI: 1174554554
Provider Name: JOHN PHILLIP TYNDALL, MD
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

Address:
1717 S CALHOUN ST
FORT WAYNE, IN
ZIP 46802
Phone: (260) 458-2641
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John Phillip Tyndall, MD is an obstetrics obstetrics gynecology in Fort Wayne, IN. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee John Phillip Tyndall, MD NPI is 1174554554. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1717 S CALHOUN ST
FORT WAYNE, IN
ZIP 46802-257
Phone: (260) 458-2641
Fax: (260) 458-3093

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetrics01020200AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C24159MEDICARE UPININDIANA
2668810IMEDICARE ID-TYPE UNSPECIFIEDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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