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

Dr. Tyrone Wizzard, MD

Individual provider Hospitalist Physician · NPI 1942887161

Dr. Tyrone Wizzard, MD is a Family Practice in Fort Pierce, Florida. Graduated from George Washington University School of Medicine in 2021, 5 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in California, District of Columbia, Florida and Maryland.

Years since qualifying
5
Trained at
George Washington University School of Medicine
Licensed in
CA, DC, FL, MD
In the registry since
2021
Specialties on file
5
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

1700 S 23rd St
Fort Pierce, FL 34950-4803
Phone: (772) 461-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D0102263 (MD)
Hospitalist Physician Taxonomy 208M00000X · Licence MD500002993 (DC)
Hospitalist Physician Taxonomy 208M00000X · Licence ME167243 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence A189384 (CA)
Adult Medicine Physician Taxonomy 207QA0505X · Licence D0102263 (MD)

Record details

NPI number1942887161
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address1700 S 23rd St, Fort Pierce, FL 34950-4803

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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