Tyler J. Prouty in Bridgeport - Obstetrics & Gynecology

Tyler J. Prouty - NPI 1225247877

Tyler J. Prouty is a Obstetrics & Gynecology in Bridgeport, . Tyler J. Prouty practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Tyler J. Prouty is 1225247877. The last update date is 2022-04-06.

Tyler J. Prouty's current location address is 527 Medical Park Dr Ste 204, Bridgeport, . You can contact this provider via phone number 3049333800 and fax number 3049333815. The mailing address for Tyler J. Prouty is 527 Medical Park Dr Ste 204, Bridgeport, . To know further, please read the information below!

Provider Profile Detail

Provider Name Tyler J. Prouty
Address 527 Medical Park Dr Ste 204, Bridgeport,
Phone Number 3049333800
Fax Number 3049333815
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1225247877
Provider Enumeration Date 2007-05-21
Last Updated Date 2022-04-06

Provider Mailing Address Detail

Address 527 Medical Park Dr Ste 204
City Bridgeport
State (WV)
Post Code 263309009
Phone Number 3049333800
Fax Number 3049333815

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No 22435
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3810009618 WV --
22435 WV WV LICENSE
4211642 WV MEDICARE PTAN

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FAQs about Tyler J. Prouty

What is the unique 10-digit identifier code issued to Tyler J. Prouty by the Centers for Medicare & Medicaid Services?

The Tyler J. Prouty has been assigned the NPI (National Provider Identifier) 1225247877 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Tyler J. Prouty is geographically located?

The Tyler J. Prouty is physically situated at the following location: 527 Medical Park Dr Ste 204, Bridgeport, WV, 263309009.

What is Tyler J. Prouty's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tyler J. Prouty is Obstetrics & Gynecology, and the taxonomy classification code that categorizes this area of expertise is 207V00000X.

On what date was the 1225247877 assigned to Tyler J. Prouty?

The Tyler J. Prouty was issued its 1225247877 on 2007-05-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Tyler J. Prouty's information last updated?

The Tyler J. Prouty's information was last updated on 2022-04-06.

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