NEW LIFE OB/GYN – NPI #1568575777
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

NEW LIFE OB/GYN is a provider located in ENNIS, TX. NPPES has assigned the NPI number 1568575777 to NEW LIFE OB/GYN on August 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NEW LIFE OB/GYN” is a dba name, the actual legal business name for this organization is KIMBERLY TYNER MD, PA. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEW LIFE OB/GYN below.

NPI Profile for
KIMBERLY TYNER MD, PA

NPI Number
1568575777
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KIMBERLY TYNER MD, PA
Doing Business As (dba): NEW LIFE OB/GYN
Primary location
601 S CLAY ST
SUITE 104
ENNIS, TX 75119-5771
Phone: (972) 878-9400 Fax: (972) 878-9403
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIMBERLY TYNER
PRESIDENT
Phone: (972) 878-9400
Updated
Identifiers

Identifiers for NEW LIFE OB/GYN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELD00451V
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.