Individual provider Active NPI

Christine Tymczyna, D.O.

  • Family Medicine Physician
  • Tempe, AZ
National Provider Identifier
1104139591
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
005507 Issued in AZ
Practice address
4450 S Rural Rd Ste C230
Tempe, AZ 85282-7020
Phone
(602) 237-5088
Fax
(602) 900-9967
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 005507 AZ Primary

Addresses

Primary practice location

4450 S Rural Rd Ste C230
Tempe, AZ 85282-7020

Mailing address

4450 S Rural Rd Ste C230
Tempe, AZ 85282-7020
Phone (602) 237-5088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000198 AZ Practitioner - Family Practice 5991821241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4450 S Rural Rd
BLDG C Suite 230
Tempe, AZ 85282-7037
Phone (602) 237-5088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
005507AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Tymczyna DO PLLC Family Medicine CurrentSince Dec 15, 2013 Accepting new patients

Locations

4450 S Rural Rd
Ste 230
Tempe, AZ 85282
Phone (480) 418-6044

4450 S Rural Rd
Ste C230
Tempe, AZ 85282
Phone (602) 237-5088

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1104139591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 S RURAL RD STE C230",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827020",
            "telephone_number": "602-237-5088",
            "fax_number": "602-900-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 S RURAL RD STE C230",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827020",
            "telephone_number": "602-237-5088",
            "fax_number": "602-900-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYMCZYNA",
        "first_name": "CHRISTINE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "005507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.