Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicholas Tyner, MD

Individual provider Emergency Medicine Physician · NPI 1043692791

Dr. Nicholas Tyner, MD is an Emergency Medicine in Philadelphia, Pennsylvania. Graduated from Drexel University College of Medicine in 2015, 11 years ago. Practices with Emergency Physicians of Falmouth, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Trained at
Drexel University College of Medicine
Licensed in
PA
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-5435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2601 Holme Ave, Philadelphia, PA 19152-2007 — (215) 335-7705

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD463310 (PA)

Record details

NPI number1043692791
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 18, 2015
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Emergency Physicians Of Falmouth — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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