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

Tyler Roshak

Individual provider Physician Assistant · NPI 1952091480

Tyler Roshak is a Physician Assistant in Louisville, Kentucky. Qualified in 2023, 3 years ago. Practices with Skin Group PLLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

2307 River Rd Ste 101
Louisville, KY 40206-5000
Phone: (502) 451-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1868 W Hebron Ln Ste 200, Shepherdsville, KY 40165-7493 — (502) 583-6647

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1952091480
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 9, 2023
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

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 Skin Group Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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