Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeremiah H Tyson, MD

Individual provider Emergency Medicine Physician · NPI 1336382548

Dr. Jeremiah H Tyson, MD is an Internal Medicine in Greenwich, Connecticut. Qualified in 2008, 18 years ago. Practices with Emergency Coverage LLC, a 771-clinician group and accepts Medicare assignment. Licensed in Connecticut, New Jersey and Tennessee.

Years since qualifying
18
Licensed in
CT, NJ, TN
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone: (203) 863-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 53505 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 25MA12127300 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 050667 (CT)

Record details

NPI number1336382548
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 17, 2009
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Emergency Coverage Llc — 771 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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