Individual provider Active NPI

Mark Tyo

  • Family Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1386359420
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN243734 Issued in MA
Practice address
110 Main St Unit a
Hyannis, MA 02601-3135
Phone
(508) 771-9550
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN243734 MA Primary

Addresses

Primary practice location

110 Main St Unit a
Hyannis, MA 02601-3135

Mailing address

110 Main St
Hyannis, MA 02601-3145
Phone (508) 771-0550

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mtyo@uacc.cc Direct UROLOGY ASSOCIATES OF CAPE COD, P.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315000440 MA Practitioner - Nurse Practitioner 1153795190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN243734MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Cape Cod, P.C. CurrentSince Feb 24, 2023 Accepting new patients

Locations

110 Main St
Hyannis, MA 02601
Phone (508) 771-9550

110 Main St
Unit A
Hyannis, MA 02601
Phone (508) 771-9550

125 Route 6A
Yarmouth Port, MA 02675
Phone (508) 771-9550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGEEAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1386359420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013145",
            "telephone_number": "508-771-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST UNIT A",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013135",
            "telephone_number": "508-771-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYO",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN243734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mtyo@uacc.cc",
            "affiliation": "Y",
            "endpointDescription": "Business Email",
            "affiliationName": "UROLOGY ASSOCIATES OF CAPE COD, P.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "110 Main St Unit A",
            "city": "Hyannis",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026013135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.