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TYSON FAMILY MEDICAL P.C. NPI 1740206226


NPI Information

NPI: 1740206226
Provider Name: TYSON FAMILY MEDICAL P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2831 TYSON AVE
PHILADELPHIA, PA
ZIP 19149
Phone: (267) 350-5575
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TYSON FAMILY MEDICAL P.C. is a family medicine in Philadelphia, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TYSON FAMILY MEDICAL P.C. NPI is 1740206226. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2831 TYSON AVE
PHILADELPHIA, PA
ZIP 19149-415
Phone: (267) 350-5575
Fax: (215) 624-0874

The provider's authorized official is David M Pudles .
The authorized official title is Owner and has the following contact phone number (267) 350-5575.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 11/12/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineOS005343-LPENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1103689MEDICARE PINPENNSYLVANIA
2B36906MEDICARE UPINPENNSYLVANIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.