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

Dr. Tyler Fugate, DO

Individual provider Internal Medicine Physician · NPI 1093867350

Dr. Tyler Fugate, DO is an Interventional Cardiology in Lebanon, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2004, 22 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

775 Norman Dr
Lebanon, PA 17042-7497
Phone: (717) 274-5500
Fax: (717) 202-0130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 169 Martin Ave, Ephrata, PA 17522-1734 — (717) 738-6423
  • 1400 S Forge Rd, Palmyra, PA 17078-9519 — (717) 274-5500

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence OS013449 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence OS013449 (PA)

Record details

NPI number1093867350
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 17, 2007
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing address601 Memory Ln, York, PA 17402-2231

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2004 (22 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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