Organization Active NPI

Gilman R Tyler MD PA

  • Surgery Physician
  • Tampa, FL
National Provider Identifier
1245471069
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME48678 Issued in FL
Legal business name
GILMAN R TYLER MD PA
Practice address
602 S Audubon Ave
Ste a
Tampa, FL 33609-4217
Phone
(813) 877-1415
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Jennifer Martinez
Title
Billing
Phone
(813) 496-1075

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X ME48678 FL Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X ME48678 FL

Addresses

Primary practice location

602 S Audubon Ave
Ste a
Tampa, FL 33609-4217

Mailing address

602 S Audubon Ave
Ste a
Tampa, FL 33609-4217
Phone (813) 877-1415

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1245471069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S AUDUBON AVE",
            "address_2": "STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094217",
            "telephone_number": "813-877-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S AUDUBON AVE",
            "address_2": "STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094217",
            "telephone_number": "813-877-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMAN R TYLER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "813-496-1075"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME48678",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME48678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.