DR. TYLER COLE ANDERSON DO
NPI 1629655865
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Q: What is Tyler Anderson's NPI number?

The NPI number for Tyler Anderson is 1629655865. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Q: What is Tyler Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Anderson was last updated on April 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2021PECOS Enrolled

1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-4400 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2023, May 27, 2022, Mar 25, 2021 (3 updates tracked since 2021).

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About Dr. Tyler Cole Anderson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYLER COLE ANDERSON DO (NPI 1629655865) is an individual student in an organized health care education/training program in Kalamazoo, Michigan and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brandon.

NPPES Registry Identity

NPI1629655865

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. TYLER COLE ANDERSONCredential: DO

Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282

Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282 · (813) 681-5551

Phone(269) 337-4400

Sole ProprietorNo

Enumeration DateMarch 25, 2021

Last NPPES UpdateApril 13, 20233 updates tracked since enumeration

NPPES CertifiedApril 13, 2023

✔ NPI 1629655865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 OAKLAND DR, Kalamazoo, MI 49008

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Secondary Practice Location 1

Location 1119 Oakfield DrBrandon, FL 33511-5779 · Phone (813) 681-5551

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler Cole Anderson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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