Dr. Jeremiah H Tyson, MD
Emergency Medicine in Greenwich, Connecticut
1336382548- Practice location
- 5 Perryridge RD, Greenwich, CT 06830-4608
- Phone
- 203-863-3000
- Fax
- —
- Last updated
- April 25, 2024
Jeremiah H Tyson is an Emergency Medicine based in Greenwich, CT. Jeremiah H Tyson practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Jeremiah H Tyson is 1336382548 and holds a License No. 25MA12127300 (NJ). The current practice location address for Jeremiah H Tyson is 5 Perryridge RD, Greenwich, CT 06830-4608 and can be reached out via phone at 203-863-3000.
Provider Profile Details
- NPI Number
- 1336382548
- Provider Name
- Jeremiah H Tyson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5 Perryridge RD, Greenwich, CT 06830-4608
- Phone Number
- 203-863-3000
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 17, 2009
- Last Update Date
- April 25, 2024
- Certification Date
- April 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Perryridge RD
Greenwich, CT 06830-4608 - City
- Greenwich
- State
- Connecticut
- Zip
- 06830-4608
- Phone Number
- 203-863-3000
Provider Business Mailing Address Details
- Address
- 5 Perryridge RD
Greenwich, CT 06830-4608 - City
- Greenwich
- State
- CT
- Zip
- 06830-4608
- Phone Number
- 203-863-3000
License Information
- License Number (1)
- 25MA12127300
- License State (1)
- NJ
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- 050667
- License State (2)
- CT
- Taxonomy (2)
- Internal Medicine · 207R00000X
- License Number (3)
- 53505
- License State (3)
- TN
- Taxonomy (3)
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jeremiah H Tyson, MD?
The NPI number of Dr. Jeremiah H Tyson, MD is 1336382548. It was assigned on April 17, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeremiah H Tyson, MD?
Dr. Jeremiah H Tyson, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MA12127300.
Where does Dr. Jeremiah H Tyson, MD practice?
The practice location is 5 Perryridge RD, Greenwich, CT 06830-4608. The office can be reached at 203-863-3000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336382548 directly on the NPPES registry website.