Active NPI
James C Tyson, MD
- Otolaryngology Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 0101047905
- Practice address
- 161 Wadsworth Dr
Richmond, VA 23236-4500 - Phone
- (804) 484-3700
- Fax
- (804) 320-6462
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 0101047905 | VA | Primary |
Addresses
Primary practice location
161 Wadsworth Dr
Richmond, VA 23236-4500
Mailing address
PO Box 36007
North Chesterfield, VA 23235-8000
Phone (804) 484-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6502288 | Medicaid | VA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- New York Medical College, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
161 Wadsworth Dr
North Chesterfield, VA 23236-4500
Phone (804) 484-3700
Hospital & facility affiliations
- CJW Medical Center
- Henrico Doctors' Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.81 of 100
- Quality
- 94.19
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101047905 | VA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Ear Nose & Throat Associates PC | Otolaryngology | Current | Accepting new patients |
| Virginia Ear, Nose and Throat Associates | Otolaryngology | Past | Accepting new patients |
Locations
7485 Right Flank Rd
Ste 210
Mechanicsville, VA 23116
15350 E West Rd
Midlothian, VA 23114
161 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 484-3702
4700 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 484-3735
3450 Mayland Ct
Richmond, VA 23233
6600 W Broad St
Ste 210
Richmond, VA 23230
Interoperability endpoints
- jamestyson@venta.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- North Chesterfield, VA
- NPI 1356325757
-
- Otolaryngology Physician
- Richmond, VA
- NPI 1194991653
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1194762294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1366447047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36007",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232358000",
"telephone_number": "804-484-3700",
"fax_number": "804-320-6462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 WADSWORTH DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232364500",
"telephone_number": "804-484-3700",
"fax_number": "804-320-6462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "JAMES",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "VA",
"license": "0101047905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6502288",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.