TYLER ANDREW RUETER


Address: 8 Doctors Park Rd, Mount Vernon, IL 62864-6224
Phone: 6182445500

TYLER ANDREW RUETER (NPI# 1457824690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457824690
Entity Type Individual
Full Name TYLER ANDREW RUETER
Credential FNP-C
Practice Address 8 Doctors Park Rd
Mount Vernon
IL 62864-6224
Mailing Address 249 County Club Rd Apt 12
Centralia
IL 62801
Practice Telephone 6182445500
Mailing Telephone 6183356185
Enumeration Date 2019-01-10
Last Update Date 2019-01-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
2018030931 MO Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
209018567 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8 DOCTORS PARK RD
City MOUNT VERNON
State IL
Zip Code 62864-6224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194729517 James E. Probst Jr. Anesthesiology 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 2005-06-13
1194351668 Justin L Northcutt Physician Assistant 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 2020-03-17
1437719093 Vincent Coty Compton Nurse Anesthetist, Certified Registered 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 2019-06-17
1447778642 Adit Shah Urology 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 2017-09-07
1518391200 National Radiology Group At Mt Vernon LLC Radiology 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 2013-08-29
1972878460 Anesthesia Associates of Southern Illinois, LLC Anesthesiology 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 2012-03-15
1922333806 Deborah M Kessler Occupational Therapist 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 2009-10-09
1083803852 Rend Emergency Physicians Emergency Medicine 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 2007-10-17
1467668152 B J Gee Respiratory Therapist, Registered 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 2007-05-16
1063630820 National Healthcare of Mt Vernon Inc Emergency Medicine 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 2007-04-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619438892 Melissa Pryer Dietitian, Registered 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 2019-03-28
1487145454 Chiropractic Wellness Center of Mt Vernon, LLC. Chiropractor 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 2018-05-24
1851889208 Kimberly Tate Counselor 4110 North Water Place, Mt. Vernon, IL 62864 2018-05-01
1871907790 University Hematology Oncology Inc Specialist #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 2014-06-18
1457771677 Dynamic Counseling and Consultation Services Social Worker 3600 S Water Tower Pl, Mt Vernon, IL 62864 2014-04-27
1619239431 Judith C Morgan Counselor 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 2012-06-08
1073888624 James Brian Verges Counselor 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 2012-03-15
1720352271 Lucinda M. Holdren Counselor 16338 North Illinois Highway 37, Mount Vernon, IL 62864 2012-03-01
1780978627 Jamie M Orange Physical Therapy Assistant 19958 Fairfield Rd, Mt. Vernon, IL 62864 2011-06-08
1780978791 Wendy Marie Claytor Speech-Language Pathologist 600 E Il Hwy 15, Mount Vernon, IL 62864 2011-06-07
Find all providers in zip 62864

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003421066 Amantha Theodore Nurse Practitioner 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552-3743 2020-09-15
1093320392 Ryan Michael Winder Nurse Practitioner 615 A Ave Se, Mount Vernon, IA 52314-1532 2020-09-14
1154969103 Sarah Jacqueline Lim-dwyer Nurse Practitioner 1400 East Kincaid Street, Mount Vernon, WA 98274-4127 2019-12-19
1306481056 Julie Marie Forbes-laborde Nurse Practitioner 27 Beekman Ave Apt 2, Mount Vernon, NY 10553-1491 2019-11-15
1447819305 Gladys E Aideyan Nurse Practitioner 130 Stuyvesant Plz, Mount Vernon, NY 10552-1413 2019-06-13
1417467929 Shernette T Suer Nurse Practitioner 105 Stevens Ave Ste 506, Mount Vernon, NY 10550-2683 2017-10-10
1194254946 Amy Haibel Nurse Practitioner 206 S Mulberry St Ste B, Mount Vernon, OH 43050-3331 2017-06-06
1699216697 Diana Mcnear Nurse Practitioner 421 S 3rd Ave, Mount Vernon, NY 10550-4507 2017-03-10
1598200867 Vivienne Iona Bartley Nurse Practitioner 115 Primrose Avenue, Mount Vernon, NY 10552 2016-12-22
1144772955 Tahiesha Tolbert Nurse Practitioner 153 Stevens Ave Ste 4, Mount Vernon, NY 10550-2543 2016-10-27
Find all providers in MOUNT VERNON

Competitor

Search similar providers

City MOUNT VERNON
Zip Code 62864

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Dataset Information

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.

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