Active NPI
Christine Tymczyna DO PLLC
- Family Medicine Physician
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0055207
- Legal business name
- CHRISTINE TYMCZYNA DO PLLC
- Practice address
- 4450 S Rural Rd Ste C230
Tempe, AZ 85282-7020 - Phone
- (602) 237-5088
- Fax
- (602) 900-9967
- NPI assigned
- Oct 9, 2013
- Organization subpart
- Yes
- Parent organization
- CHRISTINE TYMCZYNA DO PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christine Tymczyna, DO
- Title
- President
- Phone
- (602) 237-5088
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0055207 | 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
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2114034 | Christine Tymczyna, DO PLLC | Certificate of waiver | Jun 5, 2028 |
National Provider Directory
National Provider Directory- Part of
- Christine Tymczyna DO PLLC
Locations
2152 S Vineyard
Ste 138
Mesa, AZ 85210
Phone (480) 539-6646
4450 S Rural Rd
Ste C230
Tempe, AZ 85282
Phone (602) 237-5088
4450 S Rural Rd
Ste 230
Tempe, AZ 85282
Phone (480) 418-6044
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Tempe, AZ
- NPI 1104139591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511568000000",
"number": "1104253004",
"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": {
"organization_name": "CHRISTINE TYMCZYNA DO PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHRISTINE TYMCZYNA DO PLLC",
"enumeration_date": "2013-10-09",
"last_updated": "2017-11-25",
"status": "A",
"authorized_official_last_name": "TYMCZYNA",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-237-5088",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "0055207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.