Tyler Scarborough

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

66A Courthouse Rd
Camp Lejeune, NC 28542-0183

Phone

(910) 440-7704

Fax

(910) 440-7059

NPI assigned

Jul 7, 2011

Last updated

Jul 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1164719332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSC 20183",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420183",
            "telephone_number": "910-440-7704",
            "fax_number": "910-440-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66A COURTHOUSE RD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420183",
            "telephone_number": "910-440-7704",
            "fax_number": "910-440-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Saunders
• Zainab Al Chalabi Savard, APRN
• Kimberly Sara Savoia-McHugh
• Zachary John Saxman, DO
• Christopher E Saxton, SOIDC
• Daniel Schaeffer, DO
• Jamie Kyle Schiefer, PA-C
• Mark Joseph Schmidt, DNP- PMHNP
• Rolf Kirsten Schmidt, M.D.
• Megan Patrice Schnur, MD

• Independent Duty Corpsman in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Independent Duty Corpsman in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.