Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Andrew David Tyson, PA-C

Individual provider Medical Physician Assistant · NPI 1295388999

Mr. Andrew David Tyson, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3400 Spruce Street 3 Dulles Bldg
Philadelphia, PA 19104-4206
Phone: (215) 349-8222
Fax: (215) 349-5915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 559 W Germantown Pike, East Norriton, PA 19403-4250 — (484) 622-1000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA060960 (PA)

Record details

NPI number1295388999
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 22, 2019
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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