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

Tyler Nicholas Carruth, PA

Individual provider Physician Assistant · NPI 1649423278

Tyler Nicholas Carruth, PA is a Physician Assistant in Baton Rouge, Louisiana. Practices as a sole proprietor. Licensed in Louisiana and Texas.

Licensed in
LA, TX
In the registry since
2008
Specialties on file
2
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

8742 Goodwood Blvd
Baton Rouge, LA 70806-7915
Phone: (225) 893-0810
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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 PA.A10424 (LA)
Physician Assistant Taxonomy 363A00000X · Licence PA03418 (TX)

Record details

NPI number1649423278
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 28, 2008
Last updated in NPPESOctober 28, 2008

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