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

Dr. Tyler Weese, MD

Individual provider Emergency Medicine Physician · NPI 1790197689

Dr. Tyler Weese, MD is an Emergency Medicine in Newark, Ohio. Qualified in 2014, 12 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
12
Licensed in
MI, OH
In the registry since
2014
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

1320 W Main St
Newark, OH 43055-1822
Phone: (220) 564-4144
Fax: (220) 564-7153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 35.131971 (OH)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301105421 (MI)

Record details

NPI number1790197689
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2014
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing address1320 W Main St, Newark, OH 43055-1822

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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