Tyler Mellinger, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA057107 Issued in PA

Practice address

2118 Spring Valley Rd
Lancaster, PA 17601-2427

Phone

(717) 544-0150

Fax

(717) 544-0151

NPI assigned

Oct 17, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Lancaster General Medical Group

  dba Penn Medicine LGHP Behavioral Health

  • Psychiatry Physician
  • Lancaster, PA
  • NPI 1952392383
  Medicare reassignment
• Lancaster General Medical Group

  dba Penn Medicine LGHP Urgent Care Lebanon

  • Urgent Care Clinic/Center
  • Lebanon, PA
  • NPI 1124402474
  NPD
• Lancaster General Medical Group

  • Obstetrics & Gynecology Physician
  • Lancaster, PA
  • NPI 1306724570
  NPD
• Lancaster General Medical Group

  dba Penn Medicine LGHP Family Medicine Strasburg

  • Family Medicine Physician
  • Strasburg, PA
  • NPI 1316912785
  NPD (past)

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1992109011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 SPRING VALLEY RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012427",
            "telephone_number": "717-544-0150",
            "fax_number": "717-544-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 SPRING VALLEY RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012427",
            "telephone_number": "717-544-0150",
            "fax_number": "717-544-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLINGER",
        "first_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frankie Melendez
• Radames Melendez, MHS
• Joyce Meley, MSW, LSW
• Melissa Sauder, LPC, LLC
• Katelyn Mellinger, PA-C
• Ronald Mellott
• Leighan Melnick, BSW
• Justin Allen Menapace
• Mindy Marie Menard, M.S.W.
• Stephanie Mendel

• Medical Physician Assistant in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.