Individual provider Active NPI

Stephen John Tymcio, M.D.

  • Family Medicine Physician
  • Middleburg Heights, OH
National Provider Identifier
1962501064
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
037697 Issued in OH
Practice address
7225 Old Oak Blvd
Suite 210a
Middleburg Heights, OH 44130-3339
Phone
(440) 816-2761
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 037697 OH Primary

Addresses

Primary practice location

7225 Old Oak Blvd
Suite 210a
Middleburg Heights, OH 44130-3339

Mailing address

7225 Old Oak Blvd
Suite 210a
Middleburg Heights, OH 44130-3339
Phone (440) 816-2761

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
037697OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group Inc. Family Medicine Current Accepting new patients
Southwest Family Physicians, Inc. Family Medicine Current Accepting new patients
Southwest General Medical Group Inc Family Medicine Past Accepting new patients

Locations

7225 Old Oak Blvd
Ste A210A
Middleburg Heights, OH 44130
Phone (440) 816-2761

7225 Old Oak Blvd
Middleburg Heights, OH 44130
Phone (216) 816-2752

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1962501064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "address_2": "SUITE 210A",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-816-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "address_2": "SUITE 210A",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-816-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYMCIO",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "037697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.