Organization Active NPI

Austin Roy Tyrer, Jr., M.D.

Doing business as Tyrer Neurosurgery Consulting Clinic

  • Neurological Surgery Physician
  • Memphis, TN
National Provider Identifier
1215101951
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD0727 Issued in TN
Legal business name
AUSTIN ROY TYRER, JR., M.D.
Doing business as
Tyrer Neurosurgery Consulting Clinic
Practice address
220 S Claybrook St
#103
Memphis, TN 38104-3527
Phone
(901) 274-5881
NPI assigned
Apr 14, 2008
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Austin Roy Tyrer, Jr, M.D.
Title
Owner
Phone
(901) 274-5581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD0727 TN Primary

Addresses

Primary practice location

220 S Claybrook St
#103
Memphis, TN 38104-3527

Mailing address

PO Box 40835
Memphis, TN 38174-0835
Phone (901) 274-5881

Other identifiers 4

IdentifierTypeStateIssuer
00119753MedicaidMS
09015553MedicaidMS
3141308OtherTNBCBS OF TN
3141308MedicaidTN

Other names 1

  • Tyrer Neurosurgery Consulting Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1215101951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40835",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381740835",
            "telephone_number": "901-274-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S CLAYBROOK ST",
            "address_2": "#103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043527",
            "telephone_number": "901-274-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN ROY TYRER, JR., M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "TYRER, JR",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-274-5581",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "MD0727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119753",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015553",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "3141308",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3141308",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tyrer Neurosurgery Consulting Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.