Otylia Primary Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OTYLIA PRIMARY CARE, LLC

Practice address

4913 Raleigh Common Dr Ste 201
Memphis, TN 38128-2485

Phone

(901) 878-3366

Fax

(901) 492-4941

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Krzysztof Tyszka

Title

Owner

Phone

(901) 878-3366

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1437704079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 RALEIGH COMMON DR STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282485",
            "telephone_number": "901-878-3366",
            "fax_number": "901-492-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 RALEIGH COMMON DR STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282485",
            "telephone_number": "901-878-3366",
            "fax_number": "901-492-4941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6222 E Shelby Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381417735",
            "country_code": "US",
            "telephone_number": "901-878-3274",
            "fax_number": "901-492-4941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OTYLIA PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "TYSZKA",
        "authorized_official_first_name": "KRZYSZTOF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-878-3366"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Memphis",
            "affiliation": "N",
            "endpointDescription": "Web address",
            "address_1": "4913 Raleigh Common Dr Ste 201",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381282485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Memphis",
            "affiliation": "N",
            "endpointDescription": "medical clinic",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Memphis",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4913 Raleigh Common Dr Ste 201",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381282485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steve Biko Otieno, MD, PHD
• Otis S Warr III, M.D., P.C.
• Otolaryngology Consultants of Memphis, P.C.
• Ruthie Otulana
• Otylia Primary Care
• Our Hearts Your Home
• Our Loving Hearts
• Brandon Crishaun Ousley, LMSW
• Out on a Limb, LLC
• Tammi Outlaw

• Family Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.