Tyler Andrew Mork, DO | |
8670 Big Bend Blvd, Webster Groves, MO 63119-3839 | |
(314) 447-1900 | |
Not Available |
Full Name | Tyler Andrew Mork |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 17 Years |
Location | 8670 Big Bend Blvd, Webster Groves, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477736320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125-053512 (Illinois) | Secondary |
207R00000X | Internal Medicine | 2011008548 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
Ssm St Clare Health Center | Fenton, MO | Hospital |
Barnes Jewish Hospital | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
Tyler Andrew Mork, DO Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Tyler Andrew Mork, DO 8670 Big Bend Blvd, Webster Groves, MO 63119-3839 Ph: (314) 447-1900 |
Donald K King, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7943 Big Bend Blvd, Webster Groves, MO 63119 Phone: 314-961-3431 | |
Gregory Paul Zydiak, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 415 Oak Tree Dr, Webster Groves, MO 63119 Phone: 314-351-6189 Fax: 314-968-4369 |