| Tyler Conway Wind, MD | |
|
300 Mt Clement Park, Suite B, Tappahannock, VA 22560-5098 | |
| (804) 443-8670 | |
| (804) 443-8675 |
| Full Name | Tyler Conway Wind |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery |
| Location | 300 Mt Clement Park, Tappahannock, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669561171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | LL28139 (South Carolina) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 0101248828 (Virginia) | Primary |
| Entity Name | Riverside Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
| Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Conway Wind, MD 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 Ph: () - | Tyler Conway Wind, MD 300 Mt Clement Park, Suite B, Tappahannock, VA 22560-5098 Ph: (804) 443-8670 |
Lee G. Gammon, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 300 Mt Clement Park Ste B, Tappahannock, VA 22560 Phone: 804-443-8670 Fax: 804-443-8675 | |
Glenn Jay Spiegler, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 659 Hospital Rd, Suite 202, Tappahannock, VA 22560 Phone: 804-443-4227 | |
Michael Hawkinson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Mt Clement Park Ste B, Tappahannock, VA 22560 Phone: 804-443-8670 Fax: 804-443-8675 |