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

Tyler Gordon, PA

Individual provider Physician Assistant · NPI 1598201543

Tyler Gordon, PA is a Physician Assistant in Columbus, Ohio. Qualified in 2016, 10 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

111 S Grant Ave Ste 350
Columbus, OH 43215-4701
Phone: (614) 566-9160
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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 50.004939RX (OH)

Record details

NPI number1598201543
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 15, 2017
Last updated in NPPESJanuary 25, 2022
Mailing address5450 Frantz Rd Ste 360, Dublin, OH 43016-4141

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 Ohiohealth Corporation — 2289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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