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

Tyler Anderson, PA-C

Individual provider Physician Assistant · NPI 1124471446

Tyler Anderson, PA-C is a Physician Assistant in Erie, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Allegheny Clinic Radiology, a 152-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

232 W 25th St
Erie, PA 16544-0002
Phone: (814) 452-5421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA058264 (PA)

Record details

NPI number1124471446
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 21, 2016
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Allegheny Clinic Radiology — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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