Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1316191067 Deactivated / Inactive NPI Male Practitioner

Dr. Hugh Kingsbury Tyson , MD

General Practice • North Bend, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Hugh Tyson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2008
NPI Deactivation Date February 01, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Hugh Tyson, MD was a registered General Practice practicing in North Bend, OR. Throughout an active medical career spanning 9 years, Dr. Tyson provided care at the practice location at 94715 KENTUCK WAY LN until profile deactivation on 2017-02-01.

Practice Location & Contact Primary Location

Practice Address

94715 Kentuck Way Ln

North Bend, OR 974597547

Telephone 5417569711

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in North Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
1 Specialists

Practicing in North Bend, OR (106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OR MD24262

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 01, 2017

Record deactivated on February 01, 2017

NPI Profile Active November 07, 2008

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2008

Registered at 94715 KENTUCK WAY LN, NORTH BEND, OR 974597547 (Tel: 5417569711)

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Updated Business Mailing Address November 07, 2008

Registered at 94715 KENTUCK WAY LN, NORTH BEND, OR 974597547 (Tel: 5417569711)

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Provider Name / Credentials Updated November 07, 2008

Recorded as HUGH TYSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2008

General Practice (License #MD24262 in OR)

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Initial NPI Registration & Enumeration November 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316191067
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2008
Last Update: November 07, 2008
Deactivation Date: February 01, 2017

Mailing Address

94715 Kentuck Way Ln

North Bend, OR 974597547

Phone: 5417569711

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.