SEAN MICHAEL TYSZKO (NPI# 1588871073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588871073 |
| Entity Type | Individual |
| Full Name | SEAN MICHAEL TYSZKO |
| Credential | MD |
| Practice Address |
110 Kingsley Ln Ste 305 Norfolk VA 23505-4617 |
| Practice Telephone | 7578895422 |
| Practice Fax Number | 7578895450 |
| Mailing Telephone | 7578895422 |
| Mailing Fax Number | 7578895450 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2019-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD038550 | DC | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101246235 | VA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D70816 | MD | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
22111 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1588871073 | 05 |
| Street Address |
110 KINGSLEY LN STE 305 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902829260 | Rohan Anthony Stern | Radiology | 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 | 2006-07-26 |
| 1750914164 | Hampton Roads Radiology Associates, PC | Radiology | 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 | 2020-02-14 |
| 1659728699 | Rachel D Baumann | Physician Assistant | 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 | 2016-05-19 |
| 1477934735 | Hannah Emert | Physician Assistant | 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 | 2015-06-12 |
| 1548502628 | Anthony Paul Trace | Radiology | 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 | 2013-03-26 |
| 1407115892 | Jonathan Hill | Radiology | 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 | 2012-05-07 |
| 1154559805 | Maciej Stanislaw Tobola | Radiology | 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 | 2009-07-01 |
| 1093977571 | Todd Matthew Berry | Radiology | 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928034 | Sentara Advanced Imaging Solutions, LLC | Radiology | 6201 E Virginia Beach Blvd Ste 104, Norfolk, VA 23502-2824 | 2020-10-05 |
| 1275854226 | Mary W. Huff | Radiology | 6478 Kenlake Ct, Norfolk, VA 23518-5326 | 2010-06-14 |
| 1285861708 | Christopher Daniel Maroules | Radiology | 1912 N Brandon Ave, Norfolk, VA 23507-1116 | 2009-06-11 |
| 1194969204 | Jeffrey Ryan Gourley | Radiology | 110 Kingley Lane, Suite 305, Norfolk, VA 23505-4617 | 2009-04-21 |
| 1902829260 | Rohan Anthony Stern | Radiology | 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 | 2006-07-26 |
| 1013986413 | Julie Anne Krumreich | Radiology | 218 E 42nd St, Norfolk, VA 23504-1016 | 2006-03-16 |
| 1922077312 | Daniel J Melkus | Radiology | 1603 Bel Air Rd, Norfolk, NE 68701-2663 | 2006-03-16 |
| 1023008240 | Norbertina L Banson | Radiology | 835 Glenrock Rd, Ste 100a, Norfolk, VA 23502-3767 | 2005-10-27 |
| 1467069732 | Sentara Advanced Imaging Solutions, LLC | Radiology | 824 N Military Hwy Ste 100, Norfolk, VA 23502-3652 | 2020-09-30 |
| 1326465220 | Shannon B Wilson | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2014-03-28 |
| Find all providers in NORFOLK | ||||
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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.