M.D. Tracy Tyson, NPI 1205865045
Pediatrics Physician in Enosburg Falls, VT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1205865045
NPI Entity Type Individual
Provider Name M.D. Tracy Tyson
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 44 Center St, Enosburg Falls, VT, US
Provider Mailing Address 66 Knight Ln Ste 10, Williston, VT, US, 054959308
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

208000000X

Taxonomy Name Pediatrics Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

License No. ME96031
License State FL
Description A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

M.D. Tracy Tyson
44 Center St

Enosburg Falls, VT, US

Phone: 802-527-8189
Fax: 802-933-8642

Mailing Address

M.D. Tracy Tyson
66 Knight Ln Ste 10
Williston, VT, US
ZIP 054959308
Phone: 802-872-4329
Fax: 802-288-1144

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207PP0204X

Allopathic & Osteopathic Physicians

Emergency Medicine

ME96031 FL No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
202194472A GA MEDICAID 05
275570000 FL MEDICAID 05
57012 FL BCBS 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] DIRECT CSV No 44 Center St, Enosburg Falls, VT, US

Other Providers in VT, US

NPI Name Taxonomy Address

1053952374

PA-C Kirsten Lanpher

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Physician Assistant

111 Colchester Ave

Burlington, VT

1164963393

D.O. Katherine Peterson

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Infectious Disease Physician

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University Of Vermont Medical Center

Burlington, VT

1851722417

Clearchoicemd, Pllc

Organization

Urgent Care Clinic/Center

798 Route 302

Berlin, VT

1205122058

MS, RD, CD Abigail M Wadsworth

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Registered Dietitian

302 Mountain View Dr Ste 101

Colchester, VT

1730804295

Landmark Medical Of Tennessee Pc

Organization

General Practice Physician

1 Lawson Ln Ste 340

Burlington, VT

1154046696

Leslie M Conroy Md Pc

Organization

Adolescent and Children Mental Health Clinic/Center

86 Lake St

Burlington, VT

1083905590

M.D. Brian Christopher Doyle

Individual

Ophthalmology Physician

81 River St Ste 204

Montpelier, VT

1629793112

LCMHC Clarrissa A Stevens

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Mental Health Counselor

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Berlin, VT

1679555452

MD Lawrence P. Shombert

Individual

Radiation Oncology Physician

111 Colchester Ave

Burlington, VT

1770208589

Jose Rodriguez

Individual

Massage Therapist

3629 Downingsville Rd

Lincoln, VT

1528783339

DDS Inder Singh

Individual

Dentist

474 Holiday Dr Ste 1

Rutland, VT

1174599666

DR. D.C. Paul Richard Berard

Individual

Chiropractor

1445 Burton Hill Road

Barton, VT

1417179029

DR. MD Katherine A Lane

Individual

Ophthalmology Physician

55 Timber Ln

South Burlington, VT

1871837401

LICSW Remy Jean Bennett

Individual

Clinical Social Worker

130 Birge St

Brattleboro, VT

1417158288

PHD Robyn Kervick

Individual

Clinical Neurophysiology Physician

790 College Pkwy

Colchester, VT

1235264201

LMHC MA Michele L Webster

Individual

Mental Health Counselor

440 South St

Brattleboro, VT

1649994567

Brookhaven Treatment And Learning Center

Organization

Emotionally Disturbed Childrens' Residential Treatment Facility

331 Vt Rte 110

Chelsea, VT

1851015754

Kayla Fac

Individual

Student in an Organized Health Care Education/Training Program

146 South St

Castleton, VT

1841914884

DR. DDS Lisha Tang

Individual

Dentist

44 Main St Ste 200

Richford, VT

1023732039

Moon River Counseling

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

15 Homestead Pl

Brattleboro, VT

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