DR. CRYSTAL CENELL TYSON (NPI# 1104002864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104002864 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL CENELL TYSON |
| Credential | MD |
| Practice Address |
Duke University Medcial Ctr Durham NC 27710-0001 |
| Mailing Address |
3475 Erwin Road Suite 100, Box 3487 Durham NC 27705 |
| Practice Telephone | 9196606626 |
| Practice Fax Number | 9196606849 |
| Mailing Telephone | 9196606626 |
| Enumeration Date | 2008-01-12 |
| Last Update Date | 2013-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301086590 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
2011-01798 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629447529 | Crystal Tyson | Occupational Therapist | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2015-09-21 |
| Street Address |
DUKE UNIVERSITY MEDCIAL CTR |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932596525 | Robert Lorch | Internal Medicine | 2 Genome Ct, Durham, NC 27710-3011 | 2015-04-21 |
| 1386728293 | Ruediger Lehrich | Internal Medicine | 2424 Erwin Rd, Suite 605, Durham, NC 27705-3824 | 2006-10-25 |
| 1366551988 | Nora Franceschini | Internal Medicine | 3715 Saint Marks Rd, Durham, NC 27707-5010 | 2006-08-29 |
| 1033194402 | Amarnath A Kathresal | Internal Medicine | 4419 Ben Franklin Blvd, Durham, NC 27704-2147 | 2005-12-08 |
| 1003236787 | Romin Bonakdar | Internal Medicine | 4419 Ben Franklin Blvd, Durham, NC 27704-2147 | 2014-04-22 |
| 1326243247 | Patrick H. Pun | Internal Medicine | 2100 Erwin Rd, Durham, NC 27705-3941 | 2007-06-20 |
| 1700098068 | Scott Leonard Sanoff | Internal Medicine | 40 Duke Medicine Circle, Durham, NC 27710-4000 | 2007-05-07 |
| 1518011832 | David Butterly | Internal Medicine | 2100 Erwin Rd, Durham, NC 27710-0001 | 2007-01-23 |
| 1578626354 | Lisa Patterson | Internal Medicine | 2100 Erwin Rd, Duke University Medical Center - Dumc 3959, Durham, NC 27710-0001 | 2006-12-19 |
| 1003990979 | Laura Svetkey | Internal Medicine | 2100 Erwin Rd, Durham, NC 27705-3941 | 2006-10-25 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on DR. CRYSTAL CENELL TYSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.