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

Dr. Tyler Guthrie Johnson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578798757

Dr. Tyler Guthrie Johnson, DO is an Emergency Medicine in Fort Wayne, Indiana. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2009, 17 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
17
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
IN, MI
In the registry since
2009
Specialties on file
3
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

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone: (260) 373-4000
Fax: (260) 482-4442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 02003913A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5101018131 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 5101018131 (MI)

Record details

NPI number1578798757
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 18, 2009
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address608 Union Chapel Rd, Fort Wayne, IN 46845-9357

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2009 (17 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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