Active NPI
Robert J Tyndall, M.D.
- Neurology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 18639
- Practice address
- 4120 W Memorial Rd
Suite 218
Oklahoma City, OK 73120-9320 - Phone
- (405) 302-2661
- Fax
- (405) 302-2670
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 18639 | OK | Primary |
Addresses
Primary practice location
4120 W Memorial Rd
Suite 218
Oklahoma City, OK 73120-9320
Mailing address
4120 W Memorial Rd
Suite 218
Oklahoma City, OK 73120-9320
Phone (405) 302-2661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Oklahoma College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1705 Renaissance Blvd
Edmond, OK 73013-3041
Phone (405) 844-8572
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18639 | OK | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Neurodiagnostics, LLC. | Current | Accepting new patients | |
| Oklahoma Arthritis Center, P.C. | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Integris Baptist Associates | Past | Accepting new patients | |
| Karen Y Tyndall PH D P C | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
200 Union Blvd
Ste 200
Lakewood, CO 80228
Phone (405) 286-1016
1705 Renaissance Blvd
Edmond, OK 73013
Phone (405) 329-8262
1701 Renaissance Blvd
Ste 110
Edmond, OK 73013
Phone (405) 844-4978
1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496
4120 W Memorial Rd
Ste 218
Oklahoma City, OK 73120
Phone (405) 302-2661
11900 N MacArthur Blvd
Ste E2
Oklahoma City, OK 73162
Phone (405) 286-1016
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Interoperability endpoints
- roberttyndall@oac.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Rheumatology Physician
- Edmond, OK
- NPI 1528036019
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- EEG Specialist/Technologist
- Oklahoma City, OK
- NPI 1255736724
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1205969458
-
- Psychologist
- Oklahoma City, OK
- NPI 1073675211
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1225066830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 W MEMORIAL RD",
"address_2": "SUITE 218",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209320",
"telephone_number": "405-302-2661",
"fax_number": "405-302-2670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 W MEMORIAL RD",
"address_2": "SUITE 218",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209320",
"telephone_number": "405-302-2661",
"fax_number": "405-302-2670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNDALL",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "18639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.