Individual provider Active NPI

David L Tyson, M.D.

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1497702708
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K0565 Issued in TX
Practice address
1215 S Coulter St
Suite 100
Amarillo, TX 79106-1758
Phone
(806) 359-4701
Fax
(806) 353-0091
NPI assigned
May 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K0565 TX Primary

Addresses

Primary practice location

1215 S Coulter St
Suite 100
Amarillo, TX 79106-1758

Mailing address

1215 S Coulter St
Suite 100
Amarillo, TX 79106-1758
Phone (806) 359-4701

Other identifiers 2

IdentifierTypeStateIssuer
5988720OtherTXAETNA
8B2610OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000447 TX Practitioner - Family Practice 6507952736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Family Physicians Clinic, P.a.Group PAC ID 2163518390, 14 clinicians

Practice addresses (Care Compare)

1215 S Coulter St
Suite 100
Amarillo, TX 79106-1761
Phone (806) 359-4701

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Family Physicians Clinic, P.a. Family Medicine CurrentSince Aug 1, 2001 Accepting new patients

Locations

1215 S Coulter St
Ste 100
Amarillo, TX 79106
Phone (806) 359-4701

7561 Outlook Dr
Amarillo, TX 79106
Phone (806) 359-4701

Interoperability endpoints

  • Direct secure messaging: davidtyson@afpcpa.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497702708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061758",
            "telephone_number": "806-359-4701",
            "fax_number": "806-353-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061758",
            "telephone_number": "806-359-4701",
            "fax_number": "806-353-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5988720",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B2610",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.