Katherine Suzanne Tyson, MD,MED

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101247079 Issued in VA

Practice address

5875 Bremo Rd
Suite 400
Richmond, VA 23226-1934

Phone

(804) 288-4084

Fax

(804) 282-2601

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Education

State licenses

Practice roles

Locations

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.

• Dominion Women'S Health, Inc.

  • Obstetrics & Gynecology Physician
  • Mechanicsville, VA
  • NPI 1932289592
  Medicare reassignment NPD
• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457
  Medicare reassignment NPD
• Obhg Virginia, LLC

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
  • NPI 1972807394
  Medicare reassignment NPD
• Virginia Womens Center Inc

  • Specialist
  • Richmond, VA
  • NPI 1740594332
  Medicare reassignment NPD
• Summit Health Care Inc

  • Specialist
  • Richmond, VA
  • NPI 1568418655
  NPD (past)
• Summit Health Care, Inc.

  • Obstetrics & Gynecology Physician
  • Colonial Heights, VA
  • NPI 1598861411
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1225246721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 GLEN FOREST DRIVE",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263754",
            "telephone_number": "804-662-6060",
            "fax_number": "804-282-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 BREMO RD",
            "address_2": "SUITE 400",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261934",
            "telephone_number": "804-288-4084",
            "fax_number": "804-282-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "KATHERINE",
        "middle_name": "SUZANNE",
        "credential": "MD,MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101247079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225246721",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances Bland Tyree, L.C.S.W.
• Hunter Lee Tyree
• Rachel Tyree
• Tenika C Tyson-Wood, M.ED
• James C Tyson, MD
• U Prove It, LLC
• U1St Transportation L.L.C.
• Bernadette Ucci, MD
• Margaret Adaeze Uchefuna, MD
• Zia Uddin, M.D.

• Specialist in Richmond, VA
• Providers in Richmond, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.