John A Tyburczy is a Surgery in Elko, Nevada. John A Tyburczy practices all healthcare services and medical treatments related to Surgery. The NPI Number for John A Tyburczy is 1205991684. The last update date is 2023-03-07.
John A Tyburczy's current location address is 1995 Errecart Blvd Ste 103, Elko, Nevada. You can contact this provider via phone number 7757383111 and fax number 7757770216. The mailing address for John A Tyburczy is 1995 Errecart Blvd Ste 103, Elko, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John A Tyburczy |
|---|---|
| Address | 1995 Errecart Blvd Ste 103, Elko, Nevada |
| Phone Number | 7757383111 |
| Fax Number | 7757770216 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205991684 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1995 Errecart Blvd Ste 103 |
|---|---|
| City | Elko |
| State | Nevada (NV) |
| Post Code | 898018336 |
| Phone Number | 7757383111 |
| Fax Number | 7757770216 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 5949 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2004014 | NV | -- | |
| 5949 | NV | MEDICAL BOARD | |
| CS05099 | NV | STATE PHARMACY |
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What is the unique 10-digit identification code assigned to John A Tyburczy by the Centers for Medicare & Medicaid Services?
The John A Tyburczy has been issued the NPI (National Provider Identifier) 1205991684, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the John A Tyburczy located?
The John A Tyburczy is located at 1995 Errecart Blvd Ste 103, Elko, NV 898018336.
What is the John A Tyburczy's specialty and taxonomy code?
The John A Tyburczy's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the John A Tyburczy receive the assignment of its 1205991684 from the Centers for Medicare & Medicaid Services?
The John A Tyburczy was issued its 1205991684 by the Centers for Medicare & Medicaid Services on 2006-12-26.
As of what date were the John A Tyburczy's details last updated?
The information pertaining to the John A Tyburczy, including its address, specialty, and other details, was most recently updated on 2023-03-07.