Thom L Tyler, MD, PA

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME36132 Issued in FL

Legal business name

THOM L TYLER, MD, PA

Practice address

6440 W Newberry Rd Ste 408
Gainesville, FL 32605-4370

Phone

(352) 333-5000

Fax

(352) 333-5006

NPI assigned

Aug 26, 2010

Organization subpart

No

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

Authorized official

Name

Thom L Tyler, MD, PA

Title

President

Phone

(352) 333-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1740596907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD STE 408",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054370",
            "telephone_number": "352-333-5000",
            "fax_number": "352-333-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD STE 408",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054370",
            "telephone_number": "352-333-5000",
            "fax_number": "352-333-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOM L TYLER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "THOM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-333-5000",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME36132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066787100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.