TYLER KENDRICK MERCERON MD NPI 1528455441

NPI Information

  • NPI: 1528455441
  • Provider Name: TYLER KENDRICK MERCERON, MD
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 554 NORTH DUKE STREET
    LANCASTER, PA
    ZIP 17602
  • Phone: (717) 291-5863

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NPI Details

Tyler Kendrick Merceron, MD is a plastic and reconstructive surgery surgery in Lancaster, PA with 11 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Tyler Kendrick Merceron, MD NPI is 1528455441. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

554 NORTH DUKE STREET
LANCASTER, PA
ZIP 17602-250
Phone: (717) 291-5863
Fax: (717) 392-6915

The NPI 1528455441 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 4/17/2015 and was last updated on 3/22/2024.

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
12086S0122XSurgeryPlastic and Reconstructive SurgeryMD481259PENNSYLVANIAYes
2208600000XSurgeryMD481259PENNSYLVANIANo

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: 11/21/2025

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