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

Tyler Rathmell

Individual provider Physician Assistant · NPI 1184173536

Tyler Rathmell is a Physician Assistant in Johnson City, New York. Qualified in 2016, 10 years ago. Practices with Our Lady of Lourdes Memorial Hospital Inc, a 249-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
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Practice location Address checks out

240 Riverside Dr
Johnson City, NY 13790-2732
Phone: (607) 798-9356
Fax: (607) 797-1707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1184173536
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 27, 2016
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021
Mailing address240 Riverside Dr, Johnson City, NY 13790-2732

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 Our Lady Of Lourdes Memorial Hospital Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnson City