DR. JOHN MARSHALL TYO DO NPI 1205892171

NPI Information

NPI: 1205892171
Provider Name: DR. JOHN MARSHALL TYO, DO
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Organization: CFVHS ED PHYSICIANS

PECOS Registration: Yes

Address:
219 BRYANT STREET
BUFFALO, NY
ZIP 14222
Phone: (716) 878-7109
Get Directions

DR. John Marshall Tyo, DO is a pediatric emergency medicine pediatrics in Buffalo, NY with 28 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. John Marshall Tyo, DO NPI is 1205892171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year:1996

The provider's business location address is:

219 BRYANT STREET
BUFFALO, NY
ZIP 14222-006
Phone: (716) 878-7109
Fax: (716) 888-3874

The NPI 1205892171 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 11/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	213803	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BB9273	MEDICARE PIN
2	040426001680	OTHER		FIDELIS
3	H10401	MEDICARE UPIN
4	3991525	OTHER		IHA
5	01988229	MEDICAID	NEW YORK
6	00020541001	OTHER		UNIVERA
7	0018460620001	MEDICAID	PENNSYLVANIA
8	000525797001	OTHER		BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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