Tyler S Severance

M.D. | Pediatric Hematology-Oncology | Male

Tyler S Severance, M.D. is a Kansas City, Missouri based Pediatric doctor with medical specialization in Pediatric Hematology-Oncology. Current practice location of Tyler S Severance is Po Box 843966, Kansas City, Missouri - 64184-3966. He can be contacted on phone at 573-884-3300 and fax number 573-884-0943. Tyler S Severance is a sole proprietor of his business.
NPI number (Unique professional ID) for Tyler S Severance is 1366822579 which was assigned by NPPES on 02 Jun, 2015 and it was last updated on 28 Nov, 2022. Tyler S Severance license number is 2022034889 for Pediatrics, Pediatric Hematology-Oncology (2080P0207X) in Missouri.
Tyler S Severance is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Tyler S Severance basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics, Pediatric Hematology-Oncology
Provider Name :Tyler S Severance
Credential :M.D.
Gender :Male
Business Address:
Tyler S Severance address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :Po Box 843966
Kansas City, MO, 64184-3966
United States
Phone Number :573-884-3300
Fax Number :573-884-0943
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1366822579
NPI Entity Type : Individual
First Enrolment Date : 02 Jun, 2015
Last Updated On : 28 Nov, 2022
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tyler S Severance are as mentioned. Primary taxonomy code for Tyler S Severance, M.D. is 2080P0207X (Pediatrics, Pediatric Hematology-Oncology).
Taxonomy Code SpecialityPrimaryLicense No.State
2080P0207XPediatrics, Pediatric Hematology-OncologyYes2022034889MO
2080P0207XPediatrics, Pediatric Hematology-OncologyNo01080551AIN
Legacy Identifiers:
Other legacy medical identifiers of Tyler S Severance such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
200114355MEDICAIDMO
201295020MEDICAIDIN
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
MUDOCREFERRAL@direct.health.missouri.edu

Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.
DIRECT
Direct
OTHER
Other
Direct
One Hospital Dr,
Columbia, MO, 65212-0001
United States
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :One Hospital Dr
Columbia, MO, 65212-0001
United States
Phone Number :573-882-3961
Fax Number :573-884-4277
Business Location:
Patients can refer following map for directions to Tyler S Severance practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.