MR. ROY NANDO TYLER CSA NPI 1952337560

NPI Information

NPI: 1952337560
Provider Name: MR. ROY NANDO TYLER, CSA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1945 SCOTTSVILLE RD
B2 PMB 137
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 782-0434
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MR. Roy Nando Tyler, CSA is a surgical physician assistant in Bowling Green, KY. MR. Roy Nando Tyler, CSA NPI is 1952337560. 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:

1945 SCOTTSVILLE RD
B2 PMB 137
BOWLING GREEN, KY
ZIP 42104-376
Phone: (270) 782-0434

The enumeration date for this NPI number is 6/24/2006 and was last updated on 7/8/2007.

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	363AS0400X	Physician Assistant	Surgical	SA066	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	58221859-C	OTHER	KENTUCKY	HUMANA
2	000000212655	OTHER	KENTUCKY	ANTHEM

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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