Ryan E Tyler (NPI# 1336198639, PAC ID# 1153462577) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1336198639 |
| PAC ID by PECOS | 1153462577 |
| Professional Enrollment ID | I20100107000619 |
| Full Name | Ryan E Tyler |
| Organization Legal Name | SAMARITAN MEDICAL CENTER |
| Address |
1575 Washington St Watertown NY 13601-0000 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8123914876 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330157 | SAMARITAN MEDICAL CENTER |
| 331309 | RIVER HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 1575 Washington St, Watertown, NY 13601-0000 | SAMARITAN MEDICAL CENTER | |
| 165 Coleman Ave, Watertown, NY 13601-2217 | 3157552024 | SAMARITAN MEDICAL CENTER |
| 830 Washington St, Watertown, NY 13601-0000 | 3157854000 | SAMARITAN MEDICAL CENTER |
| Organization Legal Name | SAMARITAN MEDICAL CENTER |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John James Burnett | Family Medicine | Samaritan Medical Center | 26908 Independence Way, 100 Leray Cmns, Evans Mills, NY 13637-0000 |
| Ernesto N Levy | Rheumatology | Samaritan Medical Center | 629 Washington St, Rheumatology, Watertown, NY 13601-4836 |
| Teresa Y Intorcia | Registered Dietitian Or Nutrition Professional | Samaritan Medical Center | 830 Washington St, Watertown, NY 13601-4034 |
| Brett R Bunker | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Sharen Yaworski | Nurse Practitioner | Samaritan Medical Center | 165 Coleman Ave, Watertown, NY 13601-2217 |
| Heather Emanuel | Physician Assistant | Samaritan Medical Center | 3 Demott St, Lacona, NY 13083-8302 |
| Aaron Dale Huizenga | Family Medicine | Samaritan Medical Center | 909 Strawberry Ln, Clayton, NY 13624-1409 |
| Maria N Alicea | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Christina M Oneil | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Christopher Wilson | Nurse Practitioner | Samaritan Medical Center | 830 Washington St, Pm and R, Watertown, NY 13601-0000 |
| Street Address |
1575 WASHINGTON ST |
| City | WATERTOWN |
| State | NY |
| Zip | 13601-0000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett R Bunker | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Maria N Alicea | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Christina M Oneil | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Catherine Vreatt | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Zachary Nahmias | Dermatology | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Makenzie Rae Griffin | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Bonnie L Servage | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Erica Feola | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Maryellen I Blevins | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Anne Hall | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Wilson | Nurse Practitioner | Samaritan Medical Center | 830 Washington St, Pm and R, Watertown, NY 13601-0000 |
| Sharon Tenney | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Rebecca R Laufer | Psychologist, Clinical | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Sadaqat Khan | Psychiatry | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Rosemary Soosairaj | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Woman To Woman, Watertown, NY 13601-0000 |
| Susan R Swatsworth | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Casey Chern | Dermatology | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| David J Flint | Internal Medicine | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Stephen Grybowski | Family Medicine | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Paula Brooks | Family Medicine | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Find all physicians in zip 13601 | |||
| City | WATERTOWN |
| Zip Code | 13601 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WATERTOWN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ryan E Tyler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.