Tyler Maccrone, EMT-BASIC

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

109291 Issued in PA

Practice address

155 Seminole Ave
Norwood, PA 19074-1128

Phone

(610) 764-4009

Fax

(610) 876-7068

NPI assigned

Mar 2, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Tyler David Maccrone Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1689972580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SEMINOLE AVE",
            "city": "NORWOOD",
            "state": "PA",
            "postal_code": "19074",
            "telephone_number": "610-764-4009",
            "fax_number": "610-876-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SEMINOLE AVE",
            "city": "NORWOOD",
            "state": "PA",
            "postal_code": "190741128",
            "telephone_number": "610-764-4009",
            "fax_number": "610-876-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCRONE",
        "first_name": "TYLER",
        "credential": "EMT-BASIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PA",
            "license": "109291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA EMT #",
            "identifier": "109291",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "MACCRONE",
            "middle_name": "DAVID",
            "prefix": "MR.",
            "credential": "PA EMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Basic Emergency Medical Technician in Norwood, PA
• Providers in Norwood, PA by specialty
• Basic Emergency Medical Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.