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

Dr. Tyler Louis Johnston, MD

Individual provider Emergency Medicine Physician · NPI 1104445253

Dr. Tyler Louis Johnston, MD is an Emergency Medicine in Toledo, Ohio. Graduated from University of Toledo College of Medicine in 2020, 6 years ago. Practices with Providence Health and Services Mt, a 358-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Montana and Ohio.

Years since qualifying
6
Trained at
University of Toledo College of Medicine
Licensed in
MT, OH
In the registry since
2020
Specialties on file
2
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

5923 Renaissance Pl
Toledo, OH 43623-4709
Phone: (567) 408-2002
Fax: (419) 214-1196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 500 W Broadway St, Missoula, MT 59802-4008 — (406) 329-5635
  • 6 13th Ave E, Polson, MT 59860-5315 — (406) 329-5635

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MED-PHYS-LIC-141522 (MT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 35.145371 (OH)

Record details

NPI number1104445253
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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