Individual
TYSON V NEUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 838-7211
Mailing address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 838-7211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01059158A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01059158A
IN
207RP1001X
Pulmonary Disease Physician
01059158
IN
207RP1001X
Pulmonary Disease Physician
01059158A
IN
208000000X
Pediatrics Physician
01059158A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000668965
ANTHEM PTAN
IN
01
—
000001516646
ANTHEM PTAN
IN
05
—
200835790
—
IN
Enumeration date
09/06/2006
Last updated
09/29/2025
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