James Russell Tysome, MS BS, FRCS(ORL-HNS)

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

F5667 Issued in CA

Practice address

801 Welch Rd
2ND Floor
Stanford, CA 94305-5739

Phone

(650) 725-5968

Fax

(650) 725-8502

NPI assigned

Sep 1, 2011

Sex

Male

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

Bachelor of Science, Doctor of Medicine, Master of Science

State licenses

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1821379918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WELCH RD",
            "address_2": "2ND FLOOR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055739",
            "telephone_number": "650-725-5968",
            "fax_number": "650-725-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WELCH RD",
            "address_2": "2ND FLOOR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055739",
            "telephone_number": "650-725-5968",
            "fax_number": "650-725-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSOME",
        "first_name": "JAMES",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "MS BS, FRCS(ORL-HNS)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "F5667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Turturice, MD
• Mirela Tuzovic, M.D.
• Dona Tversky, MD, MPH
• Renita Louellen Tyler-Richards, PA-C
• Evgeniya Sergeevna Tyrtova, MD
• Alexander Zacharias Tzabazis, M.D.
• Jeremy Edric Uang, MD
• Suji Uhm, MD
• Nsisong Aniefiok Ukpe, NP
• Aditya Jathin Ullal

• Otolaryngology Physician in Stanford, CA
• Providers in Stanford, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.