1. Home
  2. Directory
  3. Indiana
  4. South Bend
  5. Specialist
  6. NPI Profile

TYRA DENEE GAYLORD M.D.
NPI 1093925307
Specialist in South Bend, IN

Active since May 23, 2007
615 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 647-1000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyra Denee Gaylord M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYRA DENEE GAYLORD M.D. (NPI 1093925307) is an individual specialist in South Bend, Indiana, licensed in Indiana (01042658A) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1093925307
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameTYRA DENEE GAYLORDCredential: M.D.
Location Address615 N MICHIGAN STSouth Bend, IN 46601-1033
Mailing Address15446 Regis CtGranger, IN 46530-6266 · (574) 271-7295 · Fax (574) 271-1142
Phone(574) 647-1000
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093925307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IN · 01042658A
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
615 N MICHIGAN ST, South Bend, IN 46601
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON MICHAEL MOJICA CRNA
Nurse Anesthetist, Certified Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 612-2476
RACHEL ANN JENNINGS NP
Nurse Practitioner
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1000
DR. GEVORG MARTIROSYAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3119
BRANDON WELLER MD
Ophthalmology
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1000
MELINDA DEUBNER PHARMD
Pharmacist (Critical Care)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6302
MELISSA MARIE GLASER RN
Registered Nurse (Case Management)
615 N MICHIGAN ST, MEMORIAL HOSPITAL- COMMUNITY HEALTH ENHANCEMENT
SOUTH BEND, IN 46601
St. Joseph County (574) 647-2173
MRS. NANCY ANN TAGHON RD
Dietitian, Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6351
DR. NICHOLAS HAROLD KERR DO
Family Medicine (Hospice and Palliative Medicine)
615 N MICHIGAN ST, 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyra Gaylord's NPI number?

The NPI number for Tyra Gaylord is 1093925307. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Tyra Gaylord located?

Tyra Gaylord practices at 615 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-1000.

What is Tyra Gaylord's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tyra Gaylord was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.