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

Individual provider Physician Assistant · NPI 1457755134

Tyler Southard, PA-C is a Physician Assistant in Medford, Oregon. Qualified in 2014, 12 years ago. Practices with Southern Oregon Orthopedics Inc, a 65-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Licensed in
OR
In the registry since
2014
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

2780 E Barnett Rd Ste 200
Medford, OR 97504-8674
Phone: (541) 779-6250
Fax: (541) 608-2535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (OR)

Record details

NPI number1457755134
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 9, 2014
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southern Oregon Orthopedics Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Medford