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DR. TYLER WILSON SMITH MD NPI 1508270877


NPI Information

NPI: 1508270877
Provider Name: DR. TYLER WILSON SMITH, MD
Classification: Orthopaedic Surgery - 207XX0801X
Entity Type: Individual

Specialization: Orthopaedic Trauma

PECOS Registration: Yes

Address:
4015 LAKE OTIS PKWY STE 201
ANCHORAGE, AK
ZIP 99508
Phone: (907) 771-3500
Get Directions

DR. Tyler Wilson Smith, MD is an orthopaedic trauma orthopaedic surgery in Anchorage, AK with 10 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. DR. Tyler Wilson Smith, MD NPI is 1508270877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

4015 LAKE OTIS PKWY STE 201
ANCHORAGE, AK
ZIP 99508-235
Phone: (907) 771-3500
Fax: (907) 771-3550

The NPI 1508270877 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2014 and was last updated on 1/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0801XOrthopaedic SurgeryOrthopaedic Trauma2019007890MISSOURINo
2207X00000XOrthopaedic Surgery2019007890MISSOURINo
3207XX0801XOrthopaedic SurgeryOrthopaedic Trauma162642ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11708615MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.