Healthcare Provider Details

I. General information

NPI: 1215039466
Provider Name (Legal Business Name): TYCON MEDICAL SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 ORAPAX ST
NORFOLK VA
23507-1323
US

IV. Provider business mailing address

801 ORAPAX ST
NORFOLK VA
23507-1323
US

V. Phone/Fax

Practice location:
  • Phone: 757-640-1709
  • Fax: 757-640-0136
Mailing address:
  • Phone: 757-640-1709
  • Fax: 757-640-0136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0206009342
License Number StateVA

VIII. Authorized Official

Name: CHARLIE C TRAPANI
Title or Position: OWNER/CEO
Credential:
Phone: 757-640-1709