Active NPI
Joseph Adrian Tyndall, MD
- Emergency Medicine Physician
- Gainesville, FL
National Provider Identifier
1609899467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME97276
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-3003 - Phone
- (352) 265-5911
- Fax
- (352) 265-5606
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 206879 | NY | |
| Emergency Medicine Physician | 207P00000X | ME97276 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-3003
Mailing address
PO Box 918025
Orlando, FL 32891-8025
Phone (352) 265-5911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01771264 | Medicaid | NY | |
| 277010500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME97276 | FL | MD | Emergency Medicine Physician |
| 206879 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Brooklyn Hospital Center | Past | Accepting new patients | |
| Shands Teaching Hospital and Clinics Inc | Past | Accepting new patients | |
| The Brooklyn Hospital Center | Past | Accepting new patients | |
| Brookdale Hospital Medical Center | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Pharmacy
- Gainesville, FL
- NPI 1497645915
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1962451195
-
- Clinic Pharmacy
- Brooklyn, NY
- NPI 1093431850
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1467580696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1609899467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 918025",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328918025",
"telephone_number": "352-265-5911",
"fax_number": "352-265-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103003",
"telephone_number": "352-265-5911",
"fax_number": "352-265-5606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNDALL",
"first_name": "JOSEPH",
"middle_name": "ADRIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "206879",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME97276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01771264",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277010500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.