Active NPI
George Tyson, M.D.
- Diagnostic Radiology Physician
- St Petersburg, FL
National Provider Identifier
1851465082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME59889
- Practice address
- 6449 38TH Ave N
Suite B-3
St Petersburg, FL 33710-1655 - Phone
- (727) 381-1674
- Fax
- (727) 381-4226
- NPI assigned
- Nov 20, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME59889 | FL | Primary |
Addresses
Primary practice location
6449 38TH Ave N
Suite B-3
St Petersburg, FL 33710-1655
Mailing address
6449 38TH Ave N
Suite B-3
St Petersburg, FL 33710-1655
Phone (727) 381-1674
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME59889 | FL | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851465082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6449 38TH AVE N",
"address_2": "SUITE B-3",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101655",
"telephone_number": "727-381-1674",
"fax_number": "727-381-4226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6449 38TH AVE N",
"address_2": "SUITE B-3",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101655",
"telephone_number": "727-381-1674",
"fax_number": "727-381-4226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME59889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.