Individual provider Active NPI

Tyler R Howard, PA-C

  • Medical Physician Assistant
  • North Chesterfield, VA
National Provider Identifier
1043313166
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
110001618 Issued in VA
Practice address
2602 Buford Rd
North Chesterfield, VA 23235-3422
Phone
(804) 272-8806
Fax
(804) 272-2909
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 110001618 VA Primary

Addresses

Primary practice location

2602 Buford Rd
North Chesterfield, VA 23235-3422

Mailing address

2602 Buford Rd
North Chesterfield, VA 23235-3422
Phone (804) 272-8806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914001283 VA Practitioner - Physician Assistant 9830166289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James River Cardiology, LLCGroup PAC ID 0941499594, 49 clinicians

Practice addresses (Care Compare)

445 Charles H Dimmock Pkwy
Suite 100
Colonial Heights, VA 23834-2990
Phone (804) 520-1764

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
110001618VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
James River Cardiology, LLC CurrentSince Sep 12, 2022 Accepting new patients
Paladin Dermatology LLC Past Accepting new patients

Locations

7300 Ashlake Pkwy
Ste 100
Chesterfield, VA 23832
Phone (804) 256-8282

2801 Boulevard
Ste D
Colonial Hgts, VA 23834
Phone (804) 520-6394

445 Charles H Dimmock Pkwy
Ste 100
Colonial Hgts, VA 23834

701 N Main St
Emporia, VA 23847
Phone (434) 336-3199

101 S College Dr
Franklin, VA 23851
Phone (757) 517-0465

8006 Discovery Dr
Henrico, VA 23229

315 N Main St
Lawrenceville, VA 23868
Phone (434) 471-4575

8006 Discovery Dr
Ste 130
Richmond, VA 23229
Phone (804) 495-2299

8006 Discovery Dr
Ste 300
Richmond, VA 23229
Phone (804) 495-2299

8006 Discovery Dr
Ste 120
Richmond, VA 23229
Phone (804) 495-2299

Interoperability endpoints

  • Direct secure messaging: tyler.howard.1@31267.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1043313166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 BUFORD RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353422",
            "telephone_number": "804-272-8806",
            "fax_number": "804-272-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 BUFORD RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353422",
            "telephone_number": "804-272-8806",
            "fax_number": "804-272-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "TYLER",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "110001618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.