DR. TYLER GROUT (NPI# 1851555312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851555312 |
| Entity Type | Individual |
| Full Name | DR. TYLER GROUT |
| Credential | D.P.M. |
| Practice Address |
120 Hospital Dr Ste 100 Lebanon MO 65536-9238 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4175336751 |
| Practice Fax Number | 4175336755 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2014-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2011018602 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | TRICARE | 431560263 | 01 |
| MO | RR MCR | P01159451 | 01 |
| MO | 1851555312 | 05 |
| Street Address |
120 HOSPITAL DR STE 100 |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-9238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073023586 | Alyssa Lynn Wright | Nurse Practitioner | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2017-10-10 |
| 1922457886 | Katherine Becker | Nurse Practitioner | 120 Hospital Dr, Ste 100, Lebanon, MO 65536-9238 | 2016-06-10 |
| 1760841571 | Alysa Barcus | Nurse Anesthetist, Certified Registered | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2016-02-22 |
| 1134595952 | David Houzenga | Nurse Anesthetist, Certified Registered | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2015-08-16 |
| 1124403944 | Lisa M. Boggs | Nurse Practitioner | 120 Hospital Dr, Suite 300, Lebanon, MO 65536-9238 | 2015-07-22 |
| 1578901773 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 225, Lebanon, MO 65536-9238 | 2013-06-10 |
| 1366880874 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 100, Lebanon, MO 65536-9238 | 2013-06-06 |
| 1457798167 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 300/350, Lebanon, MO 65536-9238 | 2013-06-04 |
| 1134478738 | Rajasekhar Tanikella | Hospitalist | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2012-08-29 |
| 1063784411 | Morgana Hazell | Counselor | 120 Hospital Dr, Suite 100, Lebanon, MO 65536-9238 | 2012-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205155850 | Christopher Scott Benac | Podiatrist | 1424 W Baddour Pkwy Ste E, Lebanon, TN 37087-2685 | 2010-05-21 |
| 1669436085 | Christopher Andrew Seda | Podiatrist | 840 Helen Drive, Suite 1, Lebanon, PA 17042-5300 | 2006-04-13 |
| 1326686015 | Arash Jalil | Podiatrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-12-13 |
| 1144864117 | Godfrey Ofori | Podiatrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-11-03 |
| 1467992834 | Lebanon Valley Foot and Ankle Center | Podiatrist | 840 Helen Dr, Suite 1, Lebanon, PA 17042-7456 | 2017-03-03 |
| 1316387665 | Jared Rick Malan | Podiatrist | 420 Loretto Rd, Suite 500, Lebanon, KY 40033-1628 | 2013-07-01 |
| 1861759342 | Ian M Yarger | Podiatrist | 912 Russell Dr, Lebanon, PA 17042-7485 | 2012-04-20 |
| 1447550322 | Dyane Elizabeth Tower | Podiatrist | 1 Medical Center Dr, Dhmc - Orthopedics, Podiatric Medicine, Lebanon, NH 03756-1000 | 2010-10-26 |
| 1285964353 | Jessica Marie Shaw | Podiatrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2010-01-12 |
| 1316125032 | Howard J Tzorfas Dpm | Podiatrist | 1386 Route 22 West, Lebanon, NJ 08833 | 2008-02-05 |
| Find all providers in LEBANON | ||||
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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.