NPIMap

Organization Active NPI

Tyra D. Kane

  • Internal Medicine Physician
  • Frederick, MD
National Provider Identifier
1740436245
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TYRA D. KANE
Practice address
85 Thomas Johnson CT
Suite C
Frederick, MD 21702
Phone
(301) 668-9393
Fax
(301) 668-4480
NPI assigned
Aug 15, 2008
Last updated
Oct 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tyra D Kane, M.D.
Title
Owner/Physician
Phone
(301) 668-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

85 Thomas Johnson CT
Suite C
Frederick, MD 21702

Mailing address

85 Thomas Johnson CT,
Suite C
Frederick, MD 21702
Phone (301) 668-9393

Other names 1

  • Internal Medicine Specialists of Frederick Other name

National Provider Directory

National Provider Directory

Locations

70 Thomas Johnson Dr
Ste 101
Frederick, MD 21702
Phone (301) 668-9393

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1740436245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 THOMAS JOHNSON CT,",
            "address_2": "SUITE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-668-9393",
            "fax_number": "301-668-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 THOMAS JOHNSON CT",
            "address_2": "SUITE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-668-9393",
            "fax_number": "301-668-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRA D. KANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "TYRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "301-668-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Specialists of Frederick",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.