Sarah Ann Tycast, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD160460 Issued in OR

Practice address

19260 SW 65TH Ave Ste 240
Tualatin, OR 97062-5701

Phone

(503) 691-9777

NPI assigned

Jul 25, 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stycast83371@direct.lhs.org

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.

• Childrens Clinic PC

  • Pediatrics Physician
  • Newberg, OR
  • NPI 1558806406
  NPD (past)
• Childrens Clinic PC

  • Pediatrics Physician
  • Portland, OR
  • NPI 1649219411
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1649292780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE STE 240",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625701",
            "telephone_number": "503-691-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE STE 240",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625701",
            "telephone_number": "503-691-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYCAST",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD160460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tualatin Pediatric Dentistry
• Tualatin Physical Therapy & Sports Rehab Inc
• Tualitin Senior Care LLC (River Valley Landing)
• Jasmine C Turley
• John Robert Turner
• TZ Medical Monitoring Solutions LLC
• Makoto Uchiyama, D.O.
• Dana Jones Ulrich, CNM
• United Seating and Mobility LLC (Numotion)
• Audrey C Unrau, MD

• Pediatrics Physician in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.