Organization Active NPI

Tyt PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
National Provider Identifier
1417433863
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
1129382 Issued in AZ
Legal business name
TYT PLLC
Practice address
3135 E Lincoln Dr Ste B
Phoenix, AZ 85016-2301
Phone
(480) 418-1626
NPI assigned
Jul 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Ms. Paula S Rose, CRNA
Title
President
Phone
(480) 818-8617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 1129382 AZ Primary

Addresses

Primary practice location

3135 E Lincoln Dr Ste B
Phoenix, AZ 85016-2301

Mailing address

24200 N Alma School Rd Unit 8
Scottsdale, AZ 85255-3001
Phone (480) 818-8617

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1417433863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24200 N ALMA SCHOOL RD UNIT 8",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553001",
            "telephone_number": "480-818-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 E LINCOLN DR STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162301",
            "telephone_number": "480-418-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-818-8617",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "1129382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.