Organization Active NPI

Tyson Quy, M.D., Inc.

  • Family Medicine Physician
  • Midwest City, OK
National Provider Identifier
1497012017
Registry record updated Oct 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25749 Issued in OK
Legal business name
TYSON QUY, M.D., INC.
Practice address
1721 S Air Depot Blvd
Midwest City, OK 73110-5103
Phone
(405) 610-2447
Fax
(405) 610-2086
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2015

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

Authorized official

Name
Dr. Tyson Dinh Quy, M.D.
Title
Physician
Phone
(405) 610-2447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25749 OK Primary

Addresses

Primary practice location

1721 S Air Depot Blvd
Midwest City, OK 73110-5103

Mailing address

1721 S Air Depot Blvd
Midwest City, OK 73110-5103
Phone (405) 610-2447

Other names 1

  • Air Depot Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

1721 S Air Depot Blvd
Midwest City, OK 73110
Phone (405) 610-2447

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446249600000",
    "number": "1497012017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 S AIR DEPOT BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731105103",
            "telephone_number": "405-610-2447",
            "fax_number": "405-610-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S AIR DEPOT BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731105103",
            "telephone_number": "405-610-2447",
            "fax_number": "405-610-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSON QUY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2015-10-31",
        "status": "A",
        "authorized_official_last_name": "QUY",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-610-2447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Air Depot Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2015; 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.