Dawn Huff Tyszko, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C00810 Issued in MD

Practice address

1208 E Churchville Rd
Bel Air, MD 21014-3442

Phone

(410) 399-9911

Fax

(410) 803-7285

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Novus Healthcare Group, LLC

  • Family Medicine Physician
  • Spring Park, MN
  • NPI 1346581485
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558456376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 BOWLINE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362041",
            "telephone_number": "410-529-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143442",
            "telephone_number": "410-399-9911",
            "fax_number": "410-803-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSZKO",
        "first_name": "DAWN",
        "middle_name": "HUFF",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C00810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan R Twigg, R.N.
• Todd Harrison Twining, LCPC
• Beverly Ann Tyler, M.D.
• Diana Tyree, MSW
• Emily Perlmutter Tyrrell, CRNP
• Udoeyop Walter Udoeyop, MD
• Bente Uhlig, LMSW
• Ukuaji Medical
• Um Chesapeake Surgery Center, LLC
• Jennifer Ungham, CAC-AD

• Medical Physician Assistant in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.