Provider Demographics
NPI:1467468769
Name:HUGHES, TYLER GERALD SR (MD)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:GERALD
Last Name:HUGHES
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1000 HOSPITAL DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-2326
Mailing Address - Country:US
Mailing Address - Phone:620-241-0917
Mailing Address - Fax:620-241-7786
Practice Address - Street 1:1000 HOSPITAL DR
Practice Address - Street 2:SUITE 301
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-2326
Practice Address - Country:US
Practice Address - Phone:620-241-0917
Practice Address - Fax:620-241-7786
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-25597208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS020028455OtherRAILROAD MEDICARE
KS100172210AMedicaid
KS047575Medicare ID - Type Unspecified
KS100172210AMedicaid