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

Individual provider Surgical Physician Assistant · NPI 1962776088

Mr. Tyson Records, PA-C is a Physician Assistant in Tacoma, Washington. Qualified in 2011, 15 years ago. Practices with Cascade Trauma and Acute Care Surgery PLLC, a 30-clinician group and accepts Medicare assignment. Licensed in New York and Washington.

Years since qualifying
15
Licensed in
NY, WA
In the registry since
2012
Specialties on file
3
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

1717 S J St
Tacoma, WA 98405-4933
Phone: (844) 364-2778
Fax: (253) 566-8777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60310447 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA60310447 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 014858 (NY)

Record details

NPI number1962776088
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 7, 2012
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Cascade Trauma And Acute Care Surgery Pllc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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