Active NPI
Adam J Tyson, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Paoli, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- MD451344
- Practice address
- 255 W Lancaster Ave
Paoli, PA 19301-1763 - Phone
- (484) 337-2580
- Fax
- (610) 647-2006
- NPI assigned
- Jun 13, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD451344 | PA | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | MD451344 | PA | Primary |
Addresses
Primary practice location
255 W Lancaster Ave
Paoli, PA 19301-1763
Mailing address
255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 337-2580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- East Tennessee State University Quillen College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1924 Alcoa Hwy
Knoxville, TN 37920-1511
1926 Alcoa Hwy
Suite 300
Knoxville, TN 37920-1555
Phone (865) 544-9218
1926 Alcoa Hwy 410
Knoxville, TN 37920-1512
Phone (865) 544-9218
Hospital & facility affiliations
- University Health System, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health System, Inc | Current | Accepting new patients | |
| Main Line Healthcare | Family Medicine | Current | Accepting new patients |
| University Health System Inc | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients |
Locations
1991 Sproul Rd
Broomall, PA 19008
Phone (484) 476-3700
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
154 Exton Square Mall
Exton, PA 19341
Phone (484) 565-8500
255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286
1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Knoxville, TN
- NPI 1083888473
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1437444973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W LANCASTER AVE",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011763",
"telephone_number": "484-337-2580",
"fax_number": "610-647-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W LANCASTER AVE",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011763",
"telephone_number": "484-337-2580",
"fax_number": "610-647-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "ADAM",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD451344",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "PA",
"license": "MD451344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.