JOHN T TYSON (NPI# 1053442814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053442814 |
| Entity Type | Individual |
| Full Name | JOHN T TYSON |
| Credential | MD |
| Practice Address |
2801 Rodeo Rd Suite B13 Santa Fe NM 87507-6503 |
| Practice Telephone | 5054746097 |
| Practice Fax Number | 5054743279 |
| Mailing Telephone | 5054746097 |
| Mailing Fax Number | 5054743279 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 65-56 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487699534 | John T Tyson | Dentist | 2614 Se Willoughby Blvd, Stuart, FL 34994-4700 | 2006-06-20 |
| 1275723330 | John William Tyson Jr. | Psychiatry & Neurology | 75 Francis St, Boston, MA 02115-6110 | 2007-07-25 |
| 1851337687 | John P Tyson | Family Medicine | 1014 Memorial Dr, 1st Floor, Denison, TX 75020-2079 | 2006-06-21 |
| 1649265117 | John William Tyson | Surgery | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2005-09-12 |
| Street Address |
2801 RODEO RD SUITE B13 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-6503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821066424 | Richard Lieberman | Emergency Medicine | 2801 Rodeo Rd, Suite B-13, Santa Fe, NM 87507-6503 | 2006-03-09 |
| 1841626850 | Santa Fe Medical Group, LLC | Family Medicine | 2801 Rodeo Rd, Suite B-13, Santa Fe, NM 87507-6503 | 2013-09-23 |
| 1922366293 | Rafael Gerardo Garabis | Family Medicine | 2801 Rodeo Rd, Suite B-13, Santa Fe, NM 87507-6503 | 2012-04-24 |
| 1033388541 | Merry Beyeler | Physician Assistant | 2801 Rodeo Rd, Suite B-13, Santa Fe, NM 87507 | 2008-02-28 |
| 1952579898 | Judith Lynn Morrow | Physician Assistant | 2801 Rodeo Rd, Santa Fe, NM 87507-6503 | 2008-02-13 |
| 1265656656 | Marguerite Lynn Cordahi-cruz | Nurse Practitioner | 2801 Rodeo Rd, Suite B13, Santa Fe, NM 87507-6503 | 2007-04-13 |
| 1497894406 | Deborah Sanchez | Family Medicine | 2801 Rodeo Rd, Santa Fe, NM 87507-6503 | 2007-02-06 |
| 1851401103 | Santa Fe Medical Group, LLC | Clinic/Center | 2801 Rodeo Rd, Ste B-13, Santa Fe, NM 87507-6503 | 2006-08-30 |
| 1699883025 | East Tao Corporation | Physical Medicine & Rehabilitation | 2801 Rodeo Rd, Suite F, Santa Fe, NM 87507-6503 | 2006-08-27 |
| 1609883560 | Kezhuang Zhao | Acupuncturist | 2801 Rodeo Rd, Suite F, Santa Fe, NM 87507-6503 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235261728 | James Emil Baum | Neuromusculoskeletal Medicine, Sports Medicine | 1850 Old Pecos Trl Ste L, Santa Fe, NM 87505-4760 | 2007-03-10 |
| 1225189145 | Tim C Taylor | Neuromusculoskeletal Medicine, Sports Medicine | 720 Saint Michaels Drive, Suite C, Santa Fe, NM 87505-7636 | 2007-01-16 |
| 1922194067 | Allen Robert Ruttenberg | Neuromusculoskeletal Medicine, Sports Medicine | 2801 Rodeo Road, Suite B-13, Santa Fe, NM 87507 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134255128 | Nancy Jean Alexander | Neuromusculoskeletal Medicine, Sports Medicine | 1 El Arco Iris Dr, Roswell, NM 88201-7711 | 2007-02-26 |
| 1346316114 | John Stanley Romine | Neuromusculoskeletal Medicine, Sports Medicine | 708 Ocio Pl, Farmington, NM 87401-4022 | 2006-11-25 |
| 1568531481 | Portia Deanne Sykes | Neuromusculoskeletal Medicine, Sports Medicine | 8100 East Main Street, Farmington, NM 87402 | 2006-11-07 |
| 1568768042 | Omni Medical Group LLC | Neuromusculoskeletal Medicine, Sports Medicine | 4201 Central Ave Nw, K3, Albuquerque, NM 87105-1630 | 2011-02-01 |
| 1487977690 | Francisco Laboy IIi | Neuromusculoskeletal Medicine, Sports Medicine | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2010-03-03 |
| 1578645743 | Robert W Benson | Neuromusculoskeletal Medicine, Sports Medicine | 7520 Montgomery Blvd Ne, Suite 10, Albuquerque, NM 87109-1521 | 2006-10-19 |
| 1043248578 | Paul David Lesko | Neuromusculoskeletal Medicine, Sports Medicine | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-06-30 |
| 1821060633 | David R Webb | Neuromusculoskeletal Medicine, Sports Medicine | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5682 | 2006-02-06 |
| 1821060534 | Eric James Freeh | Neuromusculoskeletal Medicine, Sports Medicine | 2301 Indian Wells Rd, Suite A, Alamogordo, NM 88310-4607 | 2006-02-06 |
| 1861464844 | Douglas R Dodson | Neuromusculoskeletal Medicine, Sports Medicine | 2301 Indian Wells Rd, Suite A, Alamogordo, NM 88310-4607 | 2006-02-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.