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Stephen George Tygart

Obstetrics & Gynecology

Allopathic & Osteopathic Physicians

165 Whitesport Drive, Suite 1, Huntsville, AL 35801

PECOS Enrollment

This provider is enrolled in PECOS as STEPHEN TYGART.

Based on the most recent information from CMS, provider Stephen George Tygart is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1033111703
Provider Type
Individual
Full Name
Tygart, Stephen George
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/12/2005
Last Updated
12/21/2020

Contact Information

Practice Location

165 Whitesport Drive, Suite 1, Huntsville, AL 35801

(256) 881-4357

(256) 881-4389

Mailing Location

165 Whitesport Drive, Suite 1, Huntsville, AL 35801

(256) 881-4357

(256) 881-4389

Provider Taxonomies

Code	Description	License
Code 207V00000X Primary	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License 10986 Alabama
Code 174400000X	Description Specialist Other Service Providers	License 10986 Alabama

Provider Identifiers

ID	Description	Issuer
ID 000080544	Description Medicaid	Issuer Unlisted Alabama
ID 528501500	Description Medicaid	Issuer Unlisted Alabama

Stephen George Tygart

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Speed, Jim E

Callison, Sharon L

Reidy, Anne Marie

Hh Obstetrics & Gynecology

Donald G. Aulds M.D. P.C.

Ricketts, Mallory Danielle

Green, David Edward

Fiore, Joseph A

Advanced Obgyn Pc

Ob/Gyn Sub-Speciality Center,Pc