John Mason Tyler Jr., M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

30232 Issued in CO

Practice address

3910 S. Carefree Circle
Suite C
Colorado Springs, CO 80917-3053

Phone

(719) 599-5753

Fax

(719) 599-5817

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Absolute Health Center Inc.

  • Sports Physician Chiropractor
  • Colorado Springs, CO
  • NPI 1194826107
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1487666376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 S. CAREFREE CIRCLE",
            "address_2": "SUITE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173053",
            "telephone_number": "719-599-5753",
            "fax_number": "719-599-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 S. CAREFREE CIRCLE",
            "address_2": "SUITE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173053",
            "telephone_number": "719-599-5753",
            "fax_number": "719-599-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "JOHN",
        "middle_name": "MASON",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "30232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01302322",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anne Twomey, B.S.
• William Joseph Twyman, D.C.
• Grazyna Tycner, MD
• Carrie Tydingco, RDH
• Christine Rene Tyler, LPC
• Nicole Lynn Tyler, RN
• Grace Tyrrell
• Jordan Arling Tysdal, PA-C
• Leandrea J Tzitzicas, FNP-C
• U.S. Anesthesia Partner

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.