TYLER KOERTH (NPI# 1578089645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578089645 |
| Entity Type | Individual |
| Full Name | TYLER KOERTH |
| Credential | ATC |
| Practice Address |
10425 Panther Pride Delton MI 49046-8825 |
| Mailing Address |
4014 Ternwood Dr Apt 1a Kalamazoo MI 49048-6674 |
| Practice Telephone | 2696231520 |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2017-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
2601001854 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
10425 PANTHER PRIDE |
| City | DELTON |
| State | MI |
| Zip Code | 49046-8825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053714709 | Woodrow Dahl | Specialist/Technologist | 10425 Panther Pride, Delton, MI 49046-8825 | 2014-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386758365 | Delton Family Pharmacy | Pharmacy | 110 Maple St, Delton, MI 49046 | 2006-08-18 |
| 1851409734 | Leo Jon Lanning | Chiropractor | 50 N M37 Hwy Suite B, Hastings, MI 49046-7681 | 2006-08-29 |
| 1285160226 | Patrick Besse | Rehabilitation Practitioner | 10737 Wildwood Rd, Delton, MI 49046-7784 | 2017-05-11 |
| 1720536865 | Jill Degoede | Registered Nurse | 11278 E Shore Dr, Delton, MI 49046-8482 | 2016-09-19 |
| 1013023621 | John D Kehl | Physician Assistant | 11275 Sprague Rd, Delton, MI 49046-8493 | 2006-08-23 |
| 1780046227 | Pennock Hospital Board of Trustees | Obstetrics & Gynecology | 11275 Sprague Rd, Delton, MI 49046-8493 | 2016-03-23 |
| 1215048384 | Jcr Do Plc | Family Medicine | 11275 Sprague Rd, Delton, MI 49046-8493 | 2006-08-31 |
| 1568984557 | Diane Marie Dekoster | Home Health Aide | 11657 Scott Park Rd, Delton, MI 49046-8579 | 2017-07-11 |
| 1427593466 | Reliant Home Care, LLC | In Home Supportive Care | 4727 Waldorf Rd, Delton, MI 49046-8632 | 2016-12-29 |
| 1871155077 | Sasha Vanessa Ospina | Social Worker | 8650 Mullen Rd, Delton, MI 49046-8751 | 2019-07-08 |
| Find all providers in zip 49046 | ||||
| Taxonomy Code | 207PS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Sports Medicine |
| An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427368 | Samantha Kate Viola | Emergency Medicine | 12901 15 Mile Rd, Sterling Heights, MI 48312-4202 | 2017-10-01 |
| 1164968210 | Laylah Ali | Emergency Medicine | 1 Campus Dr, Allendale, MI 49401-9403 | 2017-01-12 |
| 1558813964 | Steven Berning | Emergency Medicine | 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 | 2016-11-02 |
| 1770832131 | Meghan M Hescheles | Emergency Medicine | 224 Park Ave, Frankfort, MI 49635-9658 | 2012-08-31 |
| 1255517272 | Dmc Orthopaedic Billing Associates, LLC | Emergency Medicine | 9398 N Lilley Rd, Plymouth, MI 48170-4610 | 2008-01-22 |
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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.