Active NPI
Tyler Lee Buzzard
- Certified Registered Nurse Anesthetist
- Oshkosh, WI
National Provider Identifier
1699594887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 18503-33
- Practice address
- 800 Algoma Blvd
Oshkosh, WI 54901-3551 - Phone
- (920) 424-1234
- NPI assigned
- Oct 7, 2024
- Last updated
- Jun 10, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 18503-33 | WI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Critical Care Medicine Registered Nurse | 163WC0200X | 1104664 | WI |
Addresses
Primary practice location
800 Algoma Blvd
Oshkosh, WI 54901-3551
Mailing address
2962 Omro Rd
Oshkosh, WI 54904-9301
Phone (815) 980-3872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1104664 | WI | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1699594887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2962 OMRO RD",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549049301",
"telephone_number": "815-980-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ALGOMA BLVD",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549013551",
"telephone_number": "920-424-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZZARD",
"first_name": "TYLER",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-07",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "18503-33",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WI",
"license": "1104664",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.