Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larry Tyler Fout, APRN-CNP

Individual provider Nurse Practitioner · NPI 1639738404

Larry Tyler Fout, APRN-CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2019, 7 years ago. Practices with Osu Radiology LLC, a 180-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

181 Taylor Ave
Columbus, OH 43203-1779
Phone: (614) 257-3000
Fax: (614) 293-6935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.025432 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.025432 (OH)

Record details

NPI number1639738404
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJune 6, 2019
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Osu Radiology Llc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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