Active NPI
Ross W Tye, MD
- General Practice Physician
- Orland, CA
National Provider Identifier
1740406560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A374281
- Practice address
- 1361 Cortina Dr
Suite a
Orland, CA 95963 - Phone
- (530) 865-3400
- Fax
- (530) 865-2477
- NPI assigned
- Apr 18, 2007
- Last updated
- Jun 18, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A374281 | CA | Primary |
Addresses
Primary practice location
1361 Cortina Dr
Suite a
Orland, CA 95963
Mailing address
PO Box 1102
Orland, CA 95963-4102
Phone (530) 865-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHM553840F | Medicaid | CA |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A374281 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orland Urgent Care Inc., Professional Corporation | Past | Accepting new patients |
Interoperability endpoints
- rosstye@cicmci.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Orland, CA
- NPI 1629303383
-
dba Ross Tye MD & Associates
- Family Medicine Physician
- Orland, CA
- NPI 1326034281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245283200000",
"number": "1740406560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1102",
"city": "ORLAND",
"state": "CA",
"postal_code": "959634102",
"telephone_number": "530-865-3400",
"fax_number": "530-865-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1361 CORTINA DR",
"address_2": "SUITE A",
"city": "ORLAND",
"state": "CA",
"postal_code": "95963",
"telephone_number": "530-865-3400",
"fax_number": "530-865-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYE",
"first_name": "ROSS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2009-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A374281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM553840F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.