TYLER RYAN MCKINNISH MD NPI 1316430010

NPI Information

  • NPI: 1316430010
  • Provider Name: TYLER RYAN MCKINNISH, MD
  • Classification: Obstetrics & Gynecology - 207VX0201X
  • Specialization: Gynecologic Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 CAMPUS DR UNIT 125
    SCARBOROUGH, ME
    ZIP 04074
  • Phone: (207) 883-0069

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NPI Details

Tyler Ryan Mckinnish, MD is a gynecologic oncology obstetrics gynecology in Scarborough, ME with 8 years of experience. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. Tyler Ryan Mckinnish, MD NPI is 1316430010. 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:

100 CAMPUS DR UNIT 125
SCARBOROUGH, ME
ZIP 04074-171
Phone: (207) 883-0069
Fax: (207) 883-0999

The NPI 1316430010 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 6/7/2018 and was last updated on 6/9/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyMD29474MAINENo
2207VX0201XObstetrics & GynecologyGynecologic OncologyMD29474MAINEYes
3207V00000XObstetrics & Gynecology2018017675MISSOURINo

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: 11/21/2025

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