Organization Active NPI

John W Tyrone MD PLLC

  • Medical Specialty Clinic/Center
  • Gainesville, FL
National Provider Identifier
1326256470
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME89702 Issued in FL
Legal business name
JOHN W TYRONE MD PLLC
Practice address
108 NW 76TH Dr Ste a
Ste F
Gainesville, FL 32607-6652
Phone
(352) 332-1150
Fax
(352) 332-1044
NPI assigned
May 21, 2007
Last updated
Nov 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Mrs. Cheryl C Tyrone
Title
Co-Owner
Phone
(352) 332-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME89702 FL Primary

Addresses

Primary practice location

108 NW 76TH Dr Ste a
Ste F
Gainesville, FL 32607-6652

Mailing address

108 NW 76TH Dr Ste a
Ste F
Gainesville, FL 32607-6652
Phone (352) 332-1150

Other identifiers 1

IdentifierTypeStateIssuer
1063458768OtherFLNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1326256470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NW 76TH DR STE A",
            "address_2": "STE F",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076652",
            "telephone_number": "352-332-1150",
            "fax_number": "352-332-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NW 76TH DR STE A",
            "address_2": "STE F",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076652",
            "telephone_number": "352-332-1150",
            "fax_number": "352-332-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W TYRONE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "TYRONE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "352-332-1150",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME89702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063458768",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.