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Tyrone Cain

Physician β€’ Hazelwood, MO

Deactivated NPI 1508396193 Deactivated in NPPES Male Practitioner
Practice location in NPPES

7865 Chalmette Drive
Hazelwood, MO 63042

Phone: (314) 458-5610

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of April 05, 2022; the reason is not published. The records below are historical. They do not show whether Tyrone Cain currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date June 15, 2017
NPI Deactivation Date April 05, 2022
NPI Active Period 2017 – 2022

Practice Location & Contact Primary Location

Practice Address

7865 Chalmette Drive

Hazelwood, MO 63042

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Hazelwood and Missouri

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated April 05, 2022

NPPES lists this NPI as deactivated as of April 05, 2022; the reason is not published.

βœ…
NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

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Practice Location (Initial Record) June 15, 2017

Registered at 7865 CHALMETTE DRIVE, HAZELWOOD, MO 63042 (Tel: (314) 458-5610)

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Business Mailing Address (Initial Record) June 15, 2017

Registered at 7865 CHALMETTE DR, HAZELWOOD, MO 630423536 (Tel: 3144585610)

πŸ‘€
Provider Name / Credentials (Initial Record) June 15, 2017

Recorded as TYRONE CAIN

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Home Health

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Initial NPI Registration & Enumeration June 15, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508396193
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2017
Last Update: June 15, 2017
Deactivation Date: April 05, 2022

Mailing Address

7865 Chalmette Dr

Hazelwood, MO 630423536

Phone: 3144585610

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.