TYLER TEWILLIAGER DPM NPI 1295230118

NPI Information

NPI: 1295230118
Provider Name: TYLER TEWILLIAGER, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
6400 DUTCHMANS PKWY STE 215
LOUISVILLE, KY
ZIP 40205
Phone: (502) 721-8288
Get Directions

Tyler Tewilliager, DPM is a foot and ankle surgery podiatrist in Louisville, KY with 6 years of experience. Tyler Tewilliager, DPM NPI is 1295230118. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2018

The provider's business location address is:

6400 DUTCHMANS PKWY STE 215
LOUISVILLE, KY
ZIP 40205-343
Phone: (502) 721-8288

The NPI 1295230118 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 3/25/2018 and was last updated on 1/31/2023.

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
1	213E00000X	Podiatrist		POD.0000876	COLORADO	No
2	213E00000X	Podiatrist		282269	KENTUCKY	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	282269	KENTUCKY	Yes
4	213ES0103X	Podiatrist	Foot & Ankle Surgery	POD.0000876	COLORADO	No
5	390200000X	Student in an Organized Health Care Education/Training Program				No

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

NPI Synchronization or Removal

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