Meagan Tyler, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1921 Issued in OK

Practice address

6475 S Yale Ave
Suite 301
Tulsa, OK 74136-7816

Phone

(918) 494-9300

Fax

(918) 494-9324

NPI assigned

Aug 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Steven a. Smith, M.D., Dermatology, P.C.

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1710900097
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1376776195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516S YORKTOWN PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044918",
            "telephone_number": "918-712-8888",
            "fax_number": "918-712-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 S YALE AVE",
            "address_2": "SUITE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367816",
            "telephone_number": "918-494-9300",
            "fax_number": "918-494-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "MEAGAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200294680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Nicole Tutty, PA
• Mason Willis Two Crow, DO
• TX Billco LLC
• Kathleen Erica Tyes, CADC
• Jamie Lynn Tyler, LPC
• Rachel Pastorek Tyler, M.D.
• Rebecca Leigh Tyler
• Roberta Charmaine Tyler, BSN, IBCLC
• Kendall Sue Tyner Schmidt, LCSW
• Rosemarie Tyner

• Physician Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.