Timothy Tyler, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

A10415 Issued in LA

Practice address

706 Ross St
Oak Grove, LA 71263-9798

Phone

(318) 428-3237

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Coastal Urgent Care, LLCGroup PAC ID 8729138896, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations (25 of 29)

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/caldmem-57e7c173

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.

• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment Care Compare group NPD
• Coastal Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Gonzales, LA
  • NPI 1568601425
  Medicare reassignment Care Compare group
• Caldwell Memorial Hospital, Inc.

  • Emergency Medicine Physician
  • Columbia, LA
  • NPI 1023283793
  Medicare reassignment NPD
• Caldwell Memorial Hospital, Inc

  • Rural Health Clinic/Center
  • Chatham, LA
  • NPI 1114222072
  NPD
• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD
• F. Allen Johnston, MD, Apmc

  • Orthopaedic Surgery Physician
  • Baton Rouge, LA
  • NPI 1841456225
  NPD (past)
• West Carroll Health Systems LLC

  • Rural Health Clinic/Center
  • Lake Providence, LA
  • NPI 1851374748
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144315987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "TIMOTHY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "A10415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1625086",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Strong
• Angela Thompson, RPH
• Turner Rexall 1136 LLC
• Turner Rexall Pharmacy Inc
• Twin Rivers Air Partners, LLC
• Elizabeth Grace Valentine
• Wal-Mart Stores East LP
• Allie Elizabeth Watson, DDS
• West Carroll Arc
• West Carroll Arc

• Physician Assistant in Oak Grove, LA
• Providers in Oak Grove, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.