Active NPI
Laurie Tyau, MD
- Gynecology Physician
- Rockville, MD
National Provider Identifier
1639150758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- D0044719
- Practice address
- 18 Lily Pond CT
Rockville, MD 20852-4230 - Phone
- (240) 476-9101
- NPI assigned
- Nov 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | D0044719 | MD | Primary |
Addresses
Primary practice location
18 Lily Pond CT
Rockville, MD 20852-4230
Mailing address
18 Lily Pond CT
Rockville, MD 20852-4230
Phone (240) 476-9101
Other practice location 1
10313 Georgia Ave
Ste 202
Silver Spring, MD 20902-5006
Phone (301) 681-9101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 725006100 | Medicaid | MD |
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 |
|---|---|---|---|
| D0044719 | MD | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1639150758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 LILY POND CT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524230",
"telephone_number": "240-476-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 LILY POND CT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524230",
"telephone_number": "240-476-9101"
}
],
"practiceLocations": [
{
"address_1": "10313 Georgia Ave",
"address_2": "STE 202",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209025006",
"country_code": "US",
"telephone_number": "301-681-9101",
"fax_number": "301-681-3525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYAU",
"first_name": "LAURIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MD",
"license": "D0044719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "725006100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.