TIMOTHY WAYNE RYSCHON MD NPI 1730183526

NPI Information

NPI: 1730183526
Provider Name: TIMOTHY WAYNE RYSCHON, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 2 PORTOFINO DR STE 2107
PENSACOLA BEACH, FL
ZIP 32561
Phone: (720) 206-7058

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NPI Details

Timothy Wayne Ryschon, MD is an emergency medicine in Pensacola Beach, FL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Timothy Wayne Ryschon, MD NPI is 1730183526. 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:

2 PORTOFINO DR STE 2107
PENSACOLA BEACH, FL
ZIP 32561-503
Phone: (720) 206-7058
Fax: (866) 614-6108

The NPI 1730183526 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 6/9/2005 and was last updated on 9/26/2023.

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	License Number	License State	Primary
1	207P00000X	Emergency Medicine	67784	TENNESSEE	No
2	208000000X	Pediatrics	44159	ARIZONA	No
3	207P00000X	Emergency Medicine	43417	COLORADO	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	611583	MEDICAID	ARIZONA
2	02783533	MEDICAID	COLORADO

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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