Active NPI
Tyson Quy MD, LLC
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1255048377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TYSON QUY MD, LLC
- Practice address
- 4401 W Memorial Rd Ste 135
Oklahoma City, OK 73134-1787 - Phone
- (405) 916-9265
- NPI assigned
- Oct 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tyson Quy, MD
- Title
- Owner
- Phone
- (405) 916-9265
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 | Primary |
Addresses
Primary practice location
4401 W Memorial Rd Ste 135
Oklahoma City, OK 73134-1787
Mailing address
4401 W Memorial Rd Ste 135
Oklahoma City, OK 73134-1787
Phone (405) 916-9265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3000 W Memorial Rd
Ste 123473
Oklahoma City, OK 73120
Interoperability endpoints
- https://api.platform.athenahealth.com/10782/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721433600000",
"number": "1255048377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 W MEMORIAL RD STE 135",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341787",
"telephone_number": "405-916-9265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 W MEMORIAL RD STE 135",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341787",
"telephone_number": "405-916-9265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TYSON QUY MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-28",
"last_updated": "2024-07-20",
"certification_date": "2024-07-20",
"status": "A",
"authorized_official_last_name": "QUY",
"authorized_official_first_name": "TYSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-916-9265",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"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 Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.