SEAN MICHAEL TYSZKO


Address: 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617
Phone: 7578895422

SEAN MICHAEL TYSZKO (NPI# 1588871073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588871073
Entity Type Individual
Full Name SEAN MICHAEL TYSZKO
Credential MD
Practice Address 110 Kingsley Ln Ste 305
Norfolk
VA 23505-4617
Practice Telephone 7578895422
Practice Fax Number 7578895450
Mailing Telephone 7578895422
Mailing Fax Number 7578895450
Enumeration Date 2007-05-16
Last Update Date 2019-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD038550 DC Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
0101246235 VA Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
D70816 MD Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
22111 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 1588871073 05

Office Location

Street Address 110 KINGSLEY LN STE 305
City NORFOLK
State VA
Zip Code 23505-4617

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902829260 Rohan Anthony Stern Radiology 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 2006-07-26
1750914164 Hampton Roads Radiology Associates, PC Radiology 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 2020-02-14
1659728699 Rachel D Baumann Physician Assistant 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 2016-05-19
1477934735 Hannah Emert Physician Assistant 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 2015-06-12
1548502628 Anthony Paul Trace Radiology 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 2013-03-26
1407115892 Jonathan Hill Radiology 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 2012-05-07
1154559805 Maciej Stanislaw Tobola Radiology 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 2009-07-01
1093977571 Todd Matthew Berry Radiology 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 2008-06-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154844256 Cassandra Shelton Specialist/Technologist, Other 100 Kingsley Lane, Norfolk, VA 23505 2017-07-20
1063942852 Gabriela Marie Santiago Specialist/Technologist 7600 Victory Dr, Apt 3, Norfolk, VA 23505 2017-06-14
1144776725 Amr Hassan Pharmacist 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 2016-09-01
1992175095 Heather Mitchell Nurse Practitioner 110 Kingsley Ln Ste 309, Norfolk, VA 23505 2015-10-01
1255710620 Jessica Ann Kestranek Dentist 7400 Granby St Ste D, Norfolk, VA 23505 2015-05-19
1710375274 Carla Toledo Nurse Practitioner 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 2015-01-06
1417359746 James Austin Valone Jr. Ophthalmology 1423 Runymede Rd, Norfolk, VA 23505 2014-09-18
1861813370 Harris Teeter, LLC Pharmacy 7550 Granby Street, Norfolk, VA 23505 2013-12-31
1649549361 Linda Horsey Social Worker 7510 Granby Street, Suite 6, Norfolk, VA 23505 2011-12-27
1679705164 Carolyn Lee Kee Nurse's Aide 7403 Hampton Blvd, Norfolk, VA 23505 2009-08-17
Find all providers in zip 23505

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154928034 Sentara Advanced Imaging Solutions, LLC Radiology 6201 E Virginia Beach Blvd Ste 104, Norfolk, VA 23502-2824 2020-10-05
1275854226 Mary W. Huff Radiology 6478 Kenlake Ct, Norfolk, VA 23518-5326 2010-06-14
1285861708 Christopher Daniel Maroules Radiology 1912 N Brandon Ave, Norfolk, VA 23507-1116 2009-06-11
1194969204 Jeffrey Ryan Gourley Radiology 110 Kingley Lane, Suite 305, Norfolk, VA 23505-4617 2009-04-21
1902829260 Rohan Anthony Stern Radiology 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 2006-07-26
1013986413 Julie Anne Krumreich Radiology 218 E 42nd St, Norfolk, VA 23504-1016 2006-03-16
1922077312 Daniel J Melkus Radiology 1603 Bel Air Rd, Norfolk, NE 68701-2663 2006-03-16
1023008240 Norbertina L Banson Radiology 835 Glenrock Rd, Ste 100a, Norfolk, VA 23502-3767 2005-10-27
1467069732 Sentara Advanced Imaging Solutions, LLC Radiology 824 N Military Hwy Ste 100, Norfolk, VA 23502-3652 2020-09-30
1326465220 Shannon B Wilson Radiology 600 Gresham Dr, Norfolk, VA 23507-1904 2014-03-28
Find all providers in NORFOLK

Competitor

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City NORFOLK
Zip Code 23505

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Dataset Information

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.

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