MICHAEL C TYLER (NPI# 1912090408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912090408 |
| Entity Type | Individual |
| Full Name | MICHAEL C TYLER |
| Credential | CRNA |
| Practice Address |
65 N Medical Dr Salt Lake City UT 84132-1000 |
| Practice Telephone | 8015856526 |
| Mailing Telephone | 8015856526 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 178754-4406 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | TRICARE | 870542403 84121 A002 | 01 |
| UT | MOLINA | PRA01321 | 01 |
| UT | ALTIUS | QMXAF01875 | 01 |
| UT | IHC | 107001187102 | 01 |
| UT | PEHP | 28749 | 01 |
| UT | DMBA | 293655 | 01 |
| UT | GEM | 93863 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194072199 | Michael M. Tyler | Pharmacist | 1644 S 1280 East Cir, St George, UT 84790-2231 | 2012-08-08 |
| 1063700219 | Michael W Tyler | Dentist | 22437 Timberlake Rd, Lynchburg, VA 24502-7302 | 2011-07-20 |
| 1346324118 | Michael J. Tyler | Family Medicine | 75 Old Graham Rd, Pittsboro, NC 27312-5655 | 2006-10-25 |
| 1902909385 | Michael L Tyler | Dentist | 703 North Main Street, Mt Pleasant, TN 38474-1015 | 2006-09-07 |
| 1508969809 | Michael Robert Tyler | Pharmacist | Bay Pines, Saint Petersburg, FL 33744 | 2006-09-06 |
| 1902868847 | Michael Tyler | Psychiatry & Neurology | 203 W Patison St Ste C, Port Hadlock, WA 98339 | 2006-04-05 |
| 1326332206 | Michael Tyler | Urology | 5850 Coral Ridge Dr, Suite 106, Coral Springs, FL 33076-3378 | 2011-06-08 |
| 1073838389 | Michael Andrew Tyler | Counselor | 368 Fell St, San Francisco, CA 94102-5144 | 2010-03-30 |
| 1053432351 | Michael Earl Tyler | Allergy & Immunology | 14615 San Pedro Ave, Suite 235, San Antonio, TX 78232-4321 | 2007-04-03 |
| 1447332630 | Michael Wayne Tyler Jr. | Dentist | 235 Town Center Pkwy, Santee, CA 92071-5811 | 2006-10-19 |
| Street Address |
65 N MEDICAL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477540706 | Norma J Peterson | Nurse Anesthetist, Certified Registered | 65 N Medical Dr, John Moran Eye Center University of Utah, Salt Lake City, UT 84132-1000 | 2005-10-03 |
| 1558562538 | Jon Clair Lindgren | Physician Assistant | 65 N Medical Dr, Salt Lake City, UT 84132-1000 | 2007-05-29 |
| 1053522896 | Craig E Parker | Nurse Anesthetist, Certified Registered | 65 N Medical Dr, Surgery Department, Salt Lake City, UT 84132-1000 | 2007-05-24 |
| 1699819557 | Michael Kirk Jensen | Pharmacist | 65 N Medical Dr, Salt Lake City, UT 84132-1000 | 2007-02-16 |
| 1346321130 | Harald E. Olafsson | Optometrist | 65 N Medical Dr, 5413, Salt Lake City, UT 84132-1000 | 2006-10-18 |
| 1982785770 | Bryan Vincent | Optometrist | 65 N Medical Dr, Salt Lake City, UT 84132-1000 | 2006-10-18 |
| 1376633909 | Michael P. Teske | Ophthalmology | 65 N Medical Dr, Salt Lake City, UT 84132-1000 | 2006-10-13 |
| 1881784486 | Bradley Jay Katz | Ophthalmology | 65 N Medical Dr, Salt Lake City, UT 84132-1000 | 2006-10-13 |
| 1023108651 | Paul S. Bernstein | Ophthalmology | 65 N Medical Dr, Salt Lake City, UT 84132-1000 | 2006-10-13 |
| 1700976313 | Majid Moshirfar | Ophthalmology | 65 N Medical Dr, Salt Lake City, UT 84132-1000 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223523 | Mt Olympus Anesthesia | Nurse Anesthetist, Certified Registered | 4035 S Splendor Cir, Salt Lake City, UT 84124-2177 | 2020-07-30 |
| 1922627975 | Nic-sedation Pllc | Nurse Anesthetist, Certified Registered | 7138 S Highland Dr Ste 109, Salt Lake City, UT 84121-3776 | 2020-04-09 |
| 1508238551 | Miquela Afshar | Nurse Anesthetist, Certified Registered | 2120 S Highland Dr Apt 611, Salt Lake City, UT 84106-3579 | 2015-10-28 |
| 1215324686 | Andrew Bambrough | Nurse Anesthetist, Certified Registered | 328 W 200 S Apt 308, Salt Lake City, UT 84101-1232 | 2015-04-22 |
| 1487043162 | Laura Ann Farley | Nurse Anesthetist, Certified Registered | 6355 S Wrenhaven Rd, Salt Lake City, UT 84121-2370 | 2015-01-17 |
| 1174762801 | Huy Anh Nguyen | Nurse Anesthetist, Certified Registered | 3683 Hampshire Cir, Salt Lake City, UT 84119-4064 | 2009-02-19 |
| 1225105828 | Tatjana Warren | Nurse Anesthetist, Certified Registered | 30 N 1900 E Rm 3c444, Salt Lake City, UT 84132-2501 | 2006-11-29 |
| 1598861304 | Bart R Preston | Nurse Anesthetist, Certified Registered | 1954 Fort Union Blvd Ste 114, Salt Lake City, UT 84121-6899 | 2006-09-16 |
| 1487665394 | Ron W Pulver | Nurse Anesthetist, Certified Registered | 6360 S 3000 E Ste 310, Salt Lake City, UT 84121 | 2006-08-10 |
| 1477540706 | Norma J Peterson | Nurse Anesthetist, Certified Registered | 65 N Medical Dr, John Moran Eye Center University of Utah, Salt Lake City, UT 84132-1000 | 2005-10-03 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
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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.