DR. JOHN MARSHALL TYO DO NPI 1205892171

NPI Information

  • NPI: 1205892171
  • Provider Name: DR. JOHN MARSHALL TYO, DO
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 219 BRYANT STREET
    BUFFALO, NY
    ZIP 14222
  • Phone: (716) 878-7109

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NPI Details

DR. John Marshall Tyo, DO is a pediatric emergency medicine pediatrics in Buffalo, NY. 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.

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
12080P0204XPediatricsPediatric Emergency Medicine213803NEW YORKYes

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
1BB9273MEDICARE PIN
2040426001680OTHERFIDELIS
3H10401MEDICARE UPIN
43991525OTHERIHA
501988229MEDICAIDNEW YORK
600020541001OTHERUNIVERA
70018460620001MEDICAIDPENNSYLVANIA
8000525797001OTHERBC/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: 11/21/2025

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