National Provider Identifier

John Marshall Tyo, DO

John Marshall Tyo, DO is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Pediatrics) Physician in Buffalo, NY and a listed phone number of (716) 878-7109.

NPI 1205892171Buffalo, NYPediatric Emergency Medicine (Pediatrics) Physician

Profile Overview

NPI
1205892171
Provider Type
Individual
Primary Specialty
Pediatric Emergency Medicine (Pediatrics) Physician
Enumeration Date
April 21, 2006
Last Updated
November 30, 2016

Practice Location

  • 219 Bryant Street
  • Buffalo, NY 14222-2006

Phone: (716) 878-7109

Mailing Address

  • 4511 Harlem Road
  • Suite 202
  • Amherst, NY 14226-3822

Specialties

  • Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X)
Full Record
NPI
1205892171
Entity Type
Individual
Last Name
Tyo
First Name
John
Middle Name
Marshall
Name Prefix
Dr.
Credential
DO
Mailing Street Address
4511 Harlem Road
Mailing Address Line 2
Suite 202
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-3822
Mailing Country
US
Mailing Phone
(716) 839-6720
Mailing Fax
(716) 839-6740
Practice Street Address
219 Bryant Street
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14222-2006
Practice Country
US
Practice Phone
(716) 878-7109
Practice Fax
(716) 888-3874
Enumeration Date
April 21, 2006
Last Updated
November 30, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X)
Other Identifiers
3991525 (Iha), 000525797001 (Bc/Bs), 00020541001 (Univera), 0018460620001 (PA), 01988229 (NY), 040426001680 (Fidelis)