Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mickey R Tyrrell, MD

Individual provider Family Medicine Physician · NPI 1710925680

Mickey R Tyrrell, MD is a Family Practice in Vinita, Oklahoma. Qualified in 2002, 24 years ago. Practices with Dr Mickey Tyrrell, MD PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
24
Licensed in
OK
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

803 N Foreman St Ste 102
Vinita, OK 74301-1412
Phone: (918) 256-2261
Fax: (918) 256-2304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22897 (OK)

Record details

NPI number1710925680
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 3, 2006
Last updated in NPPESMarch 22, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Dr.Mickey Tyrrell, M.D. Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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