National Provider Identifier Database

PATRICE J TYSON, MD – NPI #1558569764
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

PATRICE J TYSON, MD
7777 HENNESSY BLVD
SUITE 409
BATON ROUGE, LA70808-4300
Phone: 225-765-6834
Fax: 225-765-2054
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for PATRICE J TYSON

NPI Number 1558569764
Credentials MD
Entity Individual
Enumeration date 07/10/2007
Last updated 10/25/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • LA License #: MD.025783
  • OH License #: 35090026
  • LA Medicaid: 1044121
  • MS Medicaid: 03659802
  • OH Medicaid: 2745551
  • OH Other: 962065 AETNA
  • OH Other: 000000530761 ANTHEM
  • OH Other: 749095 BUCKEYE
  • OH Other: 000000225140 UNISON
  • OH Other: 415048 WELLCARE
  • PA Other: 1021891110001 PA MEDICAID
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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