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

Tyler J. Wiedeman

Individual provider Physician Assistant · NPI 1861976037

Tyler J. Wiedeman is a Physician Assistant in Lima, Ohio. Qualified in 2018, 8 years ago. Practices with Mercy Health Physicians Lima Specialty Care LLC, a 255-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018

Practice location Address checks out

770 W High St Ste 460
Lima, OH 45801-5908
Phone: (419) 226-4300
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.005715RX (OH)

Record details

NPI number1861976037
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 24, 2018
Last updated in NPPESSeptember 24, 2018
Mailing address770 W High St Ste 460, Lima, OH 45801-5908

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mercy Health Physicians Lima Specialty Care Llc — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lima