TYLER MURDOCK MACRAE DPM NPI 1033746649

NPI Information

  • NPI: 1033746649
  • Provider Name: TYLER MURDOCK MACRAE, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2151 N HARBOR BLVD STE 35000
    FULLERTON, CA
    ZIP 92835
  • Phone: (714) 626-8630

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NPI Details

Tyler Murdock Macrae, DPM is a foot and ankle surgery podiatrist in Fullerton, CA with 5 years of experience. Tyler Murdock Macrae, DPM NPI is 1033746649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduation Year:2020

The provider's business location address is:

2151 N HARBOR BLVD STE 35000
FULLERTON, CA
ZIP 92835-820
Phone: (714) 626-8630

The NPI 1033746649 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).

The enumeration date for this NPI number is 3/24/2020 and was last updated on 8/27/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristSC007354PENNSYLVANIANo
2213ES0103XPodiatristFoot & Ankle SurgerySC007354PENNSYLVANIAYes

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: 3/30/2025

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