Active NPI
Tyler Lyman Marler, DO
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2019021763
- Practice address
- 2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313 - Phone
- (314) 966-9586
- Fax
- (314) 966-9394
- NPI assigned
- Jun 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2019021763 | MO | Primary |
Addresses
Primary practice location
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Mailing address
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone (314) 966-9586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Winding Woods Dr
Suite 222
O Fallon, MO 63366-4773
Phone (636) 256-5350
7212 Balson Ave
Saint Louis, MO 63130-3001
Hospital & facility affiliations
- Mercy Hospice
- Mercy Hospital St Louis
- SSM Health Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Family Medicine | Past | Accepting new patients |
Locations
300 Winding Woods Dr
Ste 222
O Fallon, MO 63366
Phone (636) 256-5350
300 Winding Woods Dr
Ste 214
O Fallon, MO 63366
Phone (636) 281-1705
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Family Medicine
-
- Home Health Agency
- Saint Louis, MO
- NPI 1215936588
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1487739033
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1255992905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 DOUGHERTY FERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223313",
"telephone_number": "314-966-9586",
"fax_number": "314-966-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 DOUGHERTY FERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223313",
"telephone_number": "314-966-9586",
"fax_number": "314-966-9394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLER",
"first_name": "TYLER",
"middle_name": "LYMAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2019021763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.