MR. LAWRENCE R TYLER (NPI# 1447299789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447299789 |
| Entity Type | Individual |
| Full Name | MR. LAWRENCE R TYLER |
| Credential | PA-C |
| Practice Address |
1815 Henson Ave Kalamazoo MI 49048-1510 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2694926500 |
| Practice Fax Number | 2694926461 |
| Mailing Telephone | 2394241400 |
| Mailing Fax Number | 2394241421 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601007215 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9108308 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50-00-0236 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1447299789 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4771 S Cleveland Ave, Fort Myers, FL 339071317 | 2393439800 | 2393439848 |
| 1815 Henson Ave, Kalamazoo, MI 490481510 | 2694926500 | 2694926461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265593826 | Lawrence P Tyler | Chiropractor | 305 W 4th St, Washington, MO 63090-2322 | 2006-12-13 |
| Street Address |
1815 HENSON AVE |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235121989 | William Ratigan Ranger | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048 | 2005-08-18 |
| 1669982104 | Janaye Keifer | Nurse Practitioner | 1815 Henson Ave, Kalamazoo, MI 49048 | 2017-10-11 |
| 1720375710 | Susan Marie Bauman | Nurse Practitioner | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2011-06-29 |
| 1619135480 | Syed M.f. Alam | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2008-05-29 |
| 1598952970 | Tammy Gale Klemens | Nurse Practitioner | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2007-09-28 |
| 1235337726 | Daniel James Johnston | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2007-07-05 |
| 1487619136 | Paragon Health, PC | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
| 1013972769 | Krishna Mohan Jain | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
| 1700841459 | John S Munn | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
| 1285698134 | Mark C Rummel | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073055356 | Elyssa Barrow | Physician Assistant | 1541 Gull Rd Ste 200, Kalamazoo, MI 49048-1644 | 2016-11-17 |
| 1053853473 | Danielle Samantha Christina Libiran | Physician Assistant | 315 Turwill Ln, Kalamazoo, MI 49006-4231 | 2016-11-16 |
| 1396293767 | Malorie Kate Kwiatkowski | Physician Assistant | 601 John St Ste M-206c, Kalamazoo, MI 49007-5359 | 2016-09-14 |
| 1972952299 | Colette Cremeans Klein | Physician Assistant | 601 John St, Suite M283, Kalamazoo, MI 49007-5341 | 2016-06-07 |
| 1831566595 | Sarah Hook | Physician Assistant | 601 John St, Suite M401, Kalamazoo, MI 49007-5341 | 2015-08-28 |
| 1639500473 | Heather Kaminski | Physician Assistant | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2013-12-04 |
| 1598048266 | Ashley M Dearmond | Physician Assistant | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2011-09-20 |
| 1225318751 | Kelli Renee Roe | Physician Assistant | 1634 Gull Rd, Kalamazoo, MI 49048-1632 | 2011-08-29 |
| 1750661310 | Jessica Lynn Kinnell | Physician Assistant | 601 John St, Suite M-283a, Kalamazoo, MI 49007-5341 | 2011-08-26 |
| 1932489622 | Erin Michelle Chapman | Physician Assistant | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2011-08-25 |
| Find all providers in KALAMAZOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.