Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyler John Sudol, PA-C

Individual provider Medical Physician Assistant · NPI 1265161939

Tyler John Sudol, PA-C is a Physician Assistant in Hartford, Connecticut. Qualified in 2023, 3 years ago. Practices with Hartford Hospital, a 1,040-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2022
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

80 Seymour St
Hartford, CT 06102-8000
Phone: (860) 972-5022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 006313 (CT)

Record details

NPI number1265161939
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2022
Last updated in NPPESNovember 15, 2023
Certification dateNovember 12, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hartford Hospital — 1040 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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