IndividualActive
Tyra Gaylord, M.D.
NPI 1093925307 · Specialist · South Bend, IN
Tyra Gaylord, M.D. is a Specialist provider in South Bend, IN (NPI 1093925307).
Provider details
- NPI number
- 1093925307
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 01042658A (IN)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
615 N Michigan St
South Bend, IN 46601-1033
Phone: (574) 647-1000
Street-level locationGet directions
Mailing address
15446 Regis Ct
Granger, IN 46530-6266
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2007-07-08
Frequently asked questions
- What is Tyra Gaylord's NPI number?
- Tyra Gaylord's National Provider Identifier (NPI) is 1093925307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyra Gaylord's specialty?
- Tyra Gaylord is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Tyra Gaylord located?
- Tyra Gaylord's practice location on file with NPPES is 615 N Michigan St, South Bend, IN 46601-1033.
- What is Tyra Gaylord's phone number?
- The practice phone number listed in the NPPES registry for Tyra Gaylord is (574) 647-1000.
- Is Tyra Gaylord's NPI active?
- Yes — Tyra Gaylord's NPI (1093925307) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.