Individual provider Active NPI

Patricia Y Tygrett-Sue, D.O.

  • Family Medicine Physician
  • Kalispell, MT
National Provider Identifier
1972522308
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20081 Issued in MT
Practice address
245 Windward Way
Suite 101
Kalispell, MT 59901-3133
Phone
(406) 756-8488
Fax
(406) 257-4663
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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 20081 MT Primary

Addresses

Primary practice location

245 Windward Way
Suite 101
Kalispell, MT 59901-3133

Mailing address

245 Windward Way
Suite 101
Kalispell, MT 59901-3133
Phone (406) 756-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20081MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Georgia Inc PastSince Jan 1, 2003 Accepting new patients
North Georgia Eye Care LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1972522308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WINDWARD WAY",
            "address_2": "SUITE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013133",
            "telephone_number": "406-756-8488",
            "fax_number": "406-257-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WINDWARD WAY",
            "address_2": "SUITE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013133",
            "telephone_number": "406-756-8488",
            "fax_number": "406-257-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYGRETT-SUE",
        "first_name": "PATRICIA",
        "middle_name": "Y",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "20081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.