Dr.Mickey Tyrrell, M.D. PLLC
NPI 1598962771ActiveOrganization· Family Medicine· Vinita, OK
Family Medicine in Vinita, Oklahoma, registered in NPPES in June 2007. The authorized official on file is Mickey Ray Tyrrell, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1598962771 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2007 |
| Last updated in NPPES | Sep 1, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 22897 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
Other Family Medicine providers in Vinita
- 1538238761
- 1114965027
- 1760398556
- 1275519381
- 1306387907
- 1871570986
- 1548675036
- 1013996164
- 1710925680