Tyler Gillen, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

1024 Issued in SD

Practice address

501 Summit St
Yankton, SD 57078-3855

Phone

(605) 668-8000

NPI assigned

Apr 2, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avera McKennan

  dba Avera McKennan Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment NPD
• Avera Queen of Peace

  dba Avera Queen of Peace Hospital

  • Critical Access Hospital
  • Mitchell, SD
  • NPI 1992466635
  Medicare reassignment NPD
• Avera St. Luke's

  dba Avera Internal Medicine Aberdeen

  • Internal Medicine Physician
  • Aberdeen, SD
  • NPI 1215100813
  Medicare reassignment NPD
• Sacred Heart Health Services

  dba Avera Sacred Heart Hospital

  • Emergency Care Clinic/Center
  • Yankton, SD
  • NPI 1861611683
  Medicare reassignment NPD
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  dba Avera Therapy

  • Physical Therapist
  • Sioux Falls, SD
  • NPI 1629499132
  NPD
• Avera St. Luke's

  dba Human Performance Center

  • Physician Assistant
  • Aberdeen, SD
  • NPI 1982030177
  NPD
• Avera St. Lukes

  dba Avera Medical Group Nephrology Aberdeen

  • Nephrology Physician
  • Aberdeen, SD
  • NPI 1477594430
  NPD
• Sacred Heart Health Services

  • General Practice Physician
  • Yankton, SD
  • NPI 1205703659
  NPD
• Sacred Heart Health Services

  dba AMG Ear, Nose and Throat Yankton

  • Otolaryngology Physician
  • Yankton, SD
  • NPI 1255657888
  NPD

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447678891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SUMMIT ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783855",
            "telephone_number": "605-668-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SUMMIT ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783855",
            "telephone_number": "605-668-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "TYLER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "SD",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Joseph Garry, M.D.
• Erica J Garvey, PT, DPT
• Sherry E Gaskins, M.A., LCSW-PIP
• Alexa Gauer, LCSW-PIP, RPT
• Genoa Healthcare LLC
• Sara Elizabeth Gilmore, MA, CCC/SLP
• Tonja Gilmore, MS, OTR/L, SIPT
• Rebecca Rose Glidden, CNP
• Rebecca Glover, MA, LPC-MH, QMHP
• Galen Robert Goeden, R.PH.

• Emergency Medical Services (Emergency Medicine) Physician in Yankton, SD
• Providers in Yankton, SD by specialty
• Emergency Medical Services (Emergency Medicine) Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.