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DR. ROBERT FENTON TYREE M.D. NPI 1225031768


NPI Information

NPI: 1225031768
Provider Name: DR. ROBERT FENTON TYREE, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: YUKON-KUSKOKWIM HEALTH CORPORATION

PECOS Registration: Yes

Address:
5955 ZEAMER AVE
JBER, AK
ZIP 99506
Phone: (740) 708-9705
Get Directions

DR. Robert Fenton Tyree, M.D. is a family medicine in Jber, AK with 35 years of experience. 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. Robert Fenton Tyree, M.D. NPI is 1225031768. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

5955 ZEAMER AVE
JBER, AK
ZIP 99506-702
Phone: (740) 708-9705
Fax: (888) 369-9682

The NPI 1225031768 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/28/2005 and was last updated on 11/21/2013.


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 Medicine31621WISCONSINNo
2207Q00000XFamily Medicine7690ALASKANo
3207Q00000XFamily Medicine35-06-4727-TOHIOYes

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
1314379443-159OTHEROHIOCENTRAL BENEFITS
2G20360MEDICARE UPIN
3000000538559OTHEROHIOANTHEM
42017149OTHEROHIOAETNA
59327536-001OTHEROHIOCIGNA
601-04353OTHEROHIOUHC
7314379443OTHEROHIOKLAIS
80847023MEDICARE PINOHIO
90213254MEDICAIDOHIO

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: 11/14/2023

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.