MARY AMATO TYSON M.D.
NPI 1316911035
Emergency Medicine in Durham, NC

Active since February 17, 2006
3643 N ROXBORO ST, DURHAM, NC 27704(919) 470-5345(919) 477-5474 Get Directions Write a Review

NPPES record last updated: October 26, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Amato Tyson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY AMATO TYSON M.D. (NPI 1316911035) is an individual emergency medicine provider in Durham, North Carolina, licensed in North Carolina (9400191) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1316911035
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMARY AMATO TYSONCredential: M.D.
Location Address3643 N ROXBORO STDurham, NC 27704-2702
Mailing AddressPo Box 15386Durham, NC 27704-0386 · (919) 477-5152 · Fax (919) 477-5474
Fax(919) 477-5474
Sole ProprietorYes
Enumeration DateFebruary 17, 2006
Last NPPES UpdateOctober 26, 2017
NPI 1316911035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NC · 9400191
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3643 N ROXBORO ST, Durham, NC 27704

Other Identifiers 4

Medicare UPINF84379NC
Medicare PIN2201137ENC
Other10999NC · Blue Cross Blue Shield
Medicaid8910999NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
3643 N ROXBORO ST
DURHAM, NC 27704
Physician Assistant (Medical)
3643 N ROXBORO ST
DURHAM, NC 27704
Occupational Therapist
3643 N ROXBORO ST
DURHAM, NC 27704
Physical Therapist
3643 N ROXBORO ST
DURHAM, NC 27704
Pharmacist
3643 N ROXBORO ST
DURHAM, NC 27704
Anesthesiology
3643 N ROXBORO ST
DURHAM, NC 27704
Anesthesiology
3643 N ROXBORO ST
DURHAM, NC 27704
Internal Medicine
3643 N ROXBORO ST
DURHAM, NC 27704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Tyson's NPI number?

The NPI number for Mary Tyson is 1316911035. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Mary Tyson located?

Mary Tyson practices at 3643 N Roxboro St, Durham, NC 27704. The listed phone number is (919) 470-5345.

What is Mary Tyson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Mary Tyson was last updated on October 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.