Active NPI
Gilman R Tyler MD PA
- Surgery Physician
- Tampa, FL
National Provider Identifier
1245471069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME48678
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME48678 | FL | Primary |
| Vascular Surgery Physician | 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 DirectoryNPI 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.