Active NPI
Geoffrey Louis Tyson, M.D.
- Pain Medicine (Anesthesiology) Physician
- Mountlake Terrace, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD00021183
- Practice address
- 6808 220TH St SW Ste 201
Mountlake Terrace, WA 98043-2187 - Phone
- (360) 839-6778
- NPI assigned
- Jan 30, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00021183 | WA | |
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | MD00021183 | WA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD00021183 | WA | Primary |
Addresses
Primary practice location
6808 220TH St SW Ste 201
Mountlake Terrace, WA 98043-2187
Mailing address
6808 220TH St SW Ste 201
Mountlake Terrace, WA 98043-2187
Phone (360) 839-6778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00184334 | Other | WA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Temple University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4029 Northwest Ave
Suite 301
Bellingham, WA 98226-9077
Phone (360) 752-0518
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00021183 | WA | MD | Addiction Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc., P.S. | Pain Medicine | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Sound Pain Alliance | Current | Accepting new patients | |
| Sound Pain Alliance | Pain Medicine | Current | Accepting new patients |
| Sound Pain Alliance | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Anesis Bel-Red ASC, LLC | Current | Accepting new patients | |
| Sound Pain Alliance | Past | Accepting new patients | |
| Lake Washington Private Medicine Inc | Past | Accepting new patients |
Locations
1260 116th Ave NE
Ste 110
Bellevue, WA 98004
Phone (425) 455-7225
4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685
7320 216th St SW
Ste 140
Edmonds, WA 98026
Phone (425) 673-3750
7320 216th St SW
Ste 320
Edmonds, WA 98026
Phone (425) 673-3900
6808 220th St SW
Ste 201
Mountlake Terrace, WA 98043
Phone (360) 839-6778
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
629 Avenue D
Ste 1
Snohomish, WA 98290
Phone (360) 568-1554
7200 S 180th St
Ste 102
Tukwila, WA 98188
6101 Summitview Ave
Ste 200
Yakima, WA 98908
Phone (509) 902-8856
Interoperability endpoints
- geoffrey.tyson.p24@direct.proliance.nextgenshare.com
- gtyson1710416@wm.providencedirect.org
- geoffrey.tyson.p25@direct.proliance.nextgenshare.com
Organizations & group practices 9
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.
-
- Pain Medicine Physician
- Bellingham, WA
- NPI 1649776394
-
- Ambulatory Surgical Clinic/Center
- Bellevue, WA
- NPI 1851486195
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Multi-Specialty Clinic/Center
- Edmonds, WA
- NPI 1386687747
Pain Medicine
-
- Ambulatory Surgical Clinic/Center
- Bellingham, WA
- NPI 1457695116
-
- Pain Medicine Physician
- Kirkland, WA
- NPI 1427109271
-
- Pain Clinic/Center
- Burlington, WA
- NPI 1538405709
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1679610778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6808 220TH ST SW STE 201",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432187",
"telephone_number": "360-839-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6808 220TH ST SW STE 201",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432187",
"telephone_number": "360-839-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "GEOFFREY",
"middle_name": "LOUIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00021183",
"primary": false
},
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "WA",
"license": "MD00021183",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "WA",
"license": "MD00021183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00184334",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.