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

Tyler John Back, PA-C

Individual provider Physician Assistant · NPI 1144704867

Tyler John Back, PA-C is a Physician Assistant in Robbinsdale, Minnesota. Qualified in 2018, 8 years ago. Practices with Minnesota Urology, PA, a 82-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
8
In the registry since
2018
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

3366 Oakdale Ave N Ste 303
Robbinsdale, MN 55422-2977
Phone: (763) 520-7700
Fax: (763) 520-7776
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1144704867
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2018
Last updated in NPPESSeptember 19, 2018
Mailing address3366 Oakdale Ave N Ste 303, Robbinsdale, MN 55422-2977

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 Minnesota Urology, Pa — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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