TYLER GILLEN (NPI# 1447678891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447678891 |
| Entity Type | Individual |
| Full Name | TYLER GILLEN |
| Credential | M.D. |
| Practice Address |
501 Summit St Yankton SD 57078-3855 |
| Practice Telephone | 6056688000 |
| Mailing Telephone | (605) 668-8000 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2017-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
1024 | SD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| Street Address |
501 SUMMIT ST |
| City | YANKTON |
| State | SD |
| Zip Code | 57078-3855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414843 | Kevin John Post | Family Medicine | 501 Summit St, Yankton, SD 57078-3855 | 2005-08-18 |
| 1902429897 | Allison Marie Hein | Pharmacist | 501 Summit St, Yankton, SD 57078-3855 | 2020-05-26 |
| 1386105021 | Jason Lee Rausch | Nurse Anesthetist, Certified Registered | 501 Summit St, Yankton, SD 57078-3855 | 2019-03-26 |
| 1700340072 | Kevin Michael O'brien | Physical Therapist | 501 Summit St, Yankton, SD 57078-3855 | 2019-01-30 |
| 1013471713 | Megan Klentz | Nurse Anesthetist, Certified Registered | 501 Summit St, Yankton, SD 57078-3855 | 2019-01-27 |
| 1114463130 | Erin Deroos | Physical Therapist | 501 Summit St, Yankton, SD 57078-3855 | 2017-01-13 |
| 1699217083 | Kari Zeeb | Nurse Anesthetist, Certified Registered | 501 Summit St, Yankton, SD 57078-3855 | 2016-11-16 |
| 1558729046 | Katherine A Huff | Nurse Practitioner | 501 Summit St, Yankton, SD 57078-3855 | 2016-01-29 |
| 1437527710 | Aaron Krueger | Nurse Anesthetist, Certified Registered | 501 Summit St, Yankton, SD 57078-3855 | 2015-09-03 |
| 1255709523 | Laura Ann Husman | Nurse Anesthetist, Certified Registered | 501 Summit St, Yankton, SD 57078-3855 | 2015-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| Find all providers in zip 57078 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073540738 | Mark A Vossler | Emergency Medicine | 47241 180th St, Clear Lake, SD 57226-5442 | 2006-06-27 |
| 1841312873 | Hilary R. Rockwell | Emergency Medicine | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-04-03 |
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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.