Tyler D Allen, PA
Individual provider Active NPI Physician Assistant · Asheville, NC
NPI 1053583294 · NPPES record last updated Dec 7, 2016
Key facts
- NPI
- 1053583294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-01272 (NC)
- Practice address
- 90 Southside Ave
Suite 350
Asheville, NC 28801-4160 - Phone
- (828) 277-4810
- NPI assigned
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geriatric Consultants PLLC
Physicians Eldercare PA
Curana Health of North Carolina PLLC
Practice addresses (Care Compare)
1450 Shaire Ctr Dr
Lenoir, NC 28645-7565
Phone (860) 882-7525
5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276
581 NC Hwy 16 S
Taylorsville, NC 28681-9103
Phone (860) 882-7525
Hospital & facility affiliations
- Caldwell Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090822000147 | NC | Practitioner - Physician Assistant | 8820142003 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-01272 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of North Carolina PLLC | Current |
Accepting new patients | |
| Physicians Eldercare PA | Current |
Accepting new patients | |
| Graystone Ear, Nose and Throat Associates, PA | Past | Accepting new patients | |
| Extended Care Physicians - Piedmont, PA | Past | Accepting new patients | |
| Extended Care Physicians - Mountain, PA | Physician Assistant | Past | Accepting new patients |
Locations
5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517
70 Oak St
Tryon, NC 28782
Phone (828) 859-9161
4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-01272 | NC | |
| Physician Assistant | 363A00000X | 0010-01272 | NC | Yes |
Addresses
Primary practice location
90 Southside Ave
Suite 350
Asheville, NC 28801-4160
Mailing address
90 Southside Ave
Suite 350
Asheville, NC 28801-4160
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1596T | Other | NC | BCBSNC |
| 1053583294 | Medicaid | NC |
Other providers in Asheville, NC
- Brianna Allen
- Charles Davis Allen III
- Elizabeth Rose Allen
- Leila Allen
- Sarah Anne Allen
- William Asher Allen
- William P Allen
- David Samuel Allenger
- Allergy Partners of California, Inc
- Allergy Partners of Texas, Inc
All providers in Asheville, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.