Tyler L Robertson (NPI# 1124308473, PAC ID# 1557534070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1124308473 |
| PAC ID by PECOS | 1557534070 |
| Professional Enrollment ID | I20120210000563 |
| Full Name | Tyler L Robertson |
| Organization Legal Name | MARSHALL MEDICAL CENTER SOUTH |
| Address |
2505 Us Hwy 431 Boaz AL 35957-5908 |
| Phone Number | 2565938310 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0648534495 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010005 | MARSHALL MEDICAL CENTERS |
| 010035 | CULLMAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2505 Us Hwy 431, Boaz, AL 35957-5908 | 2565938310 | MARSHALL MEDICAL CENTER SOUTH |
| 1403 Wall St, Cullman, AL 35055-6022 | 2567362811 | CULLMAN REGIONAL ANESTHESIA SERVICES LLC |
| 1912 Al Hwy 157, Cullman, AL 35058-0609 | 2567372639 | CULLMAN REGIONAL ANESTHESIA SERVICES LLC |
| Organization Legal Name | MARSHALL MEDICAL CENTER SOUTH |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audra L Chastain | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 8000 Al Hwy 69, Guntersville, AL 35976-7140 |
| Hannah L Nixon | Qualified Audiologist | Marshall Medical Center South | 602 Corley Ave, Boaz, AL 35957-5952 |
| Mark A Isaacs | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| James L Masdon | Otolaryngology | Marshall Medical Center South | 704 Medical Ctr Pkwy, Boaz, AL 35957-5935 |
| Amy T. Garner | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Andrew A Madej | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Julie R Pope | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Sherri A Logan | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Farlie R Templeton | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Jerry S Tumlin | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Street Address |
2505 US HWY 431 |
| City | BOAZ |
| State | AL |
| Zip | 35957-5908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Isaacs | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Amy T. Garner | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Andrew A Madej | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Dalton E Diamond | Emergency Medicine | Marshall Medical Center South Diamond Hospital Services | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Gary A Calhoun | Family Medicine | 2505 Us Hwy 431, Boaz, AL 35957-5908 | |
| Kelsey Tucker Geer | Nurse Practitioner | App of Alabama Ed Pllc | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Julie R Pope | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Sherri A Logan | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Farlie R Templeton | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Jerry S Tumlin | Certified Registered Nurse Anesthetist (crna) | Marshall Medical Center South | 2505 Us Hwy 431, Boaz, AL 35957-5908 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Sellers | Nurse Practitioner | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
| Alvin V Tenchavez | Internal Medicine | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
| Lisa L Osborne | Nurse Practitioner | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
| Carlos Chacon | Nurse Practitioner | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
| Cody E Jarmon | Nurse Practitioner | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
| Enrico Deseo Y. Gaspar | Internal Medicine | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
| Gideon P Ewing | Medical Oncology | Marshall Medical Center South Medical Oncology Services | 2505 Us Hwy 431, Boaz, AL 35957 |
| Miranda P Smith | Nurse Practitioner | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
| Jonathan A Storey | Medical Oncology | Marshall Medical Center South Medical Oncology Services | 2505 Us Hwy 431, Boaz, AL 35957 |
| Ashley C Lackey | Nurse Practitioner | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
| Find all physicians in zip 35957 | |||
| City | BOAZ |
| Zip Code | 35957 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BOAZ + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Tyler L Robertson.
| 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.