Individual provider · Type 1 NPI

Michael Robert Tiso, MD

Sports Medicine (Emergency Medicine) Physician · Williamsville, NY

NPI number 1326330440 Active

Practice location

111 N Maplemere Rd Ste 100
Williamsville, NY 14221-3182

Fax (716) 204-4337

Mailing address

4225 Genesee St Ste 400
Cheektowaga, NY 14225-1994

Other practice locations

  • 410 W 10th Ave, Columbus, OH 43210-1240 · (614) 293-8305
  • 6515 Pullman Dr, Lewis Center, OH 43035-7380 · (614) 293-3600
  • 550 Chapel Dr, Granville, OH 43023-6504 · (740) 587-6200

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X35.122274 (OH)
Sports Medicine (Emergency Medicine) Physician 207PS0010X35.122274 (OH)
Sports Medicine (Emergency Medicine) Physician Primary 207PS0010X277182 (NY)
Internal Medicine Physician 207R00000X35.122274 (OH)

Sports Medicine (Emergency Medicine) Physician: An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise p…

24 other providers at this address

About NPI 1326330440

Michael Robert Tiso, MD's National Provider Identifier is 1326330440, issued on May 8, 2011. The primary taxonomy on file is Sports Medicine (Emergency Medicine) Physician (207PS0010X), and the practice location is in Williamsville, NY. The record was last updated on Jul 29, 2026.