SCOTT WALTER TYCHOLIZ PA NPI 1609200021

NPI Information

  • NPI: 1609200021
  • Provider Name: SCOTT WALTER TYCHOLIZ, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 5701 BOW POINTE DR
    SUITE 120
    CLARKSTON, MI
    ZIP 48346
  • Phone: (248) 625-2273

Map and Directions

Get Directions

NPI Details

Scott Walter Tycholiz, PA is a physician assistant in Clarkston, MI. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Scott Walter Tycholiz, PA NPI is 1609200021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5701 BOW POINTE DR
SUITE 120
CLARKSTON, MI
ZIP 48346-198
Phone: (248) 625-2273
Fax: (248) 625-6336

The enumeration date for this NPI number is 8/22/2013 and was last updated on 8/22/2013.

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
1363A00000XPhysician Assistant5601006684MICHIGANYes

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI