National Provider Identifier Database

TRACY TYSON, MD – NPI #1205865045
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

TRACY TYSON, MD
11 CREST RD
SAINT ALBANS CITY, VT05478-9701
Phone: 802-527-8189
Fax: 802-527-8187
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Pediatric Emergency Medicine 207PP0204X

* Indicates primary specialty

NPI Profile & details for TRACY TYSON

NPI Number 1205865045
Credentials MD
Entity Individual
Enumeration date 07/02/2006
Last updated 06/30/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME96031
  • FL Medicaid: 275570000
  • GA Medicaid: 202194472A
  • FL Other: 57012 BCBS
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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