Tyler Church, MD, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

37949 Issued in AZ

Legal business name

TYLER CHURCH, MD, PC

Practice address

1955 W Frye Rd
Chandler, AZ 85224-6282

Phone

(480) 507-2961

Fax

(480) 507-2971

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

Tyler Church, MD

Title

Sole Member

Phone

(480) 507-2961

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1164677993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852991847",
            "telephone_number": "480-507-2961",
            "fax_number": "480-507-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W FRYE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246282",
            "telephone_number": "480-507-2961",
            "fax_number": "480-507-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER CHURCH, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "480-507-2961",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "37949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350318",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Twelfth One, LLC
• Twelfth One, LLC
• Tamara Twellman
• TWTH LLC
• Andrew Lloyd Tye
• Christopher Jovan Tyler
• Tylers Place Az Inc
• Samuel Oluwaseun Tytler, M.D.
• Ucr Healthcare, LLC
• Ucr Medical Group PLLC

• Anesthesiology Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.