Organization Active NPI

Scott E. Tyler MD PS

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1265610281
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00028035 Issued in WA
Legal business name
SCOTT E. TYLER MD PS
Practice address
2105 112TH Ave NE
Bellevue, WA 98004-2945
Phone
(425) 451-7737
Fax
(425) 451-0225
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Mr. Scott E Tyler, M.D.
Title
President
Phone
(425) 451-7737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 00028035 WA Primary

Addresses

Primary practice location

2105 112TH Ave NE
Bellevue, WA 98004-2945

Mailing address

2105 112TH Ave NE
Bellevue, WA 98004-2945
Phone (425) 451-7737

Other names 1

  • Scott E. Tyler MD PS Doing business as

National Provider Directory

National Provider Directory

Locations

2105 112th Ave NE
Bellevue, WA 98004
Phone (425) 451-7737

2105 112th Ave NE
Ste 101
Bellevue, WA 98004
Phone (425) 445-4229

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1265610281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 112TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042945",
            "telephone_number": "425-451-7737",
            "fax_number": "425-451-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 112TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042945",
            "telephone_number": "425-451-7737",
            "fax_number": "425-451-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT E. TYLER MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "14254517737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "00028035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott E. Tyler MD PS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.