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DR. TYRA SHERICE MCKINNEY MD NPI 1164413548


NPI Information

NPI: 1164413548
Provider Name: DR. TYRA SHERICE MCKINNEY, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
25775 W. 10 MILE
SUITE B
SOUTHFIELD, MI
ZIP 48033
Phone: (248) 304-9400
Get Directions

DR. Tyra Sherice Mckinney, MD is a family medicine in Southfield, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Tyra Sherice Mckinney, MD NPI is 1164413548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25775 W. 10 MILE
SUITE B
SOUTHFIELD, MI
ZIP 48033-856
Phone: (248) 304-9400
Fax: (248) 304-9401

The enumeration date for this NPI number is 11/3/2005 and was last updated on 8/27/2009.


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
1207Q00000XFamily Medicine4301074809MICHIGANYes

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
1MI1504MEDICARE PINMICHIGAN
2H98206MEDICARE UPINMICHIGAN
3MI1503018MEDICARE UPINMICHIGAN
4MI1504018MEDICARE UPINMICHIGAN
5N67500002MEDICARE PINMICHIGAN
6MI1503MEDICARE PINMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.