Individual provider Active NPI

Tyler Evan Beers, MD

  • Student in an Organized Health Care Education/Training Program
  • Mount Morris, PA
National Provider Identifier
1063159234
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
120 Locust Ave Ext
Mount Morris, PA 15349-1355
Phone
(724) 324-9001
Fax
(724) 324-9005
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

120 Locust Ave Ext
Mount Morris, PA 15349-1355

Mailing address

120 Locust Ave Ext
Mount Morris, PA 15349-1355
Phone (724) 324-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220727001978 PA Order and Referring Only - Family PracticePractitioner - Family Practice 5698157378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: tyler.beers.1@22724.direct.athenahealth.com
  • Direct secure messaging: tyler.beers.p12@direct.cornerstonecare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1063159234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LOCUST AVE EXT",
            "city": "MOUNT MORRIS",
            "state": "PA",
            "postal_code": "153491355",
            "telephone_number": "724-324-9001",
            "fax_number": "724-324-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LOCUST AVE EXT",
            "city": "MOUNT MORRIS",
            "state": "PA",
            "postal_code": "153491355",
            "telephone_number": "724-324-9001",
            "fax_number": "724-324-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERS",
        "first_name": "TYLER",
        "middle_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Morris, PA

Sources for this page

Verify at the official NPI Registry.