Active NPI
Tyler Scott Deuser, MBA, ATC, LAT, CSCS
- Athletic Trainer
- Madison, IN
National Provider Identifier
1124315676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36001333A
- Practice address
- 43 Paradise LN
Madison, IN 47250-8801 - Phone
- (812) 599-0942
- NPI assigned
- Jul 6, 2011
- Last updated
- Aug 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36001333A | IN | Primary |
Addresses
Primary practice location
43 Paradise LN
Madison, IN 47250-8801
Mailing address
43 Paradise LN
Madison, IN 47250-8801
Phone (812) 599-0942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36001333A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1124315676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 PARADISE LN",
"city": "MADISON",
"state": "IN",
"postal_code": "472508801",
"telephone_number": "812-599-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 PARADISE LN",
"city": "MADISON",
"state": "IN",
"postal_code": "472508801",
"telephone_number": "812-599-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEUSER",
"first_name": "TYLER",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "MBA, ATC, LAT, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001333A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.