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

Tyler Gilliland, MD

Individual provider Surgery Physician · NPI 1790217362

Tyler Gilliland, MD is a General Surgery in Meridian, Idaho. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in Idaho and Ohio.

Years since qualifying
9
Licensed in
ID, OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

520 S Eagle Rd Ste 1241
Meridian, ID 83642-6355
Phone: (208) 381-6930
Fax: (208) 381-6931
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 101 Bodin Cir, Travis Afb, CA 94535-1809 — (707) 423-5224

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 9971497 (ID)
Surgery Physician Taxonomy 208600000X · Licence 35.135779 (OH)

Record details

NPI number1790217362
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2017
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Meridian