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

Individual provider Medical Physician Assistant · NPI 1306236302

Tyler Vannoord, PA-C is a Physician Assistant in Muskegon, Michigan. Qualified in 2014, 12 years ago. Practices with Lake Michigan Observation Services PLLC, a 32-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2015
Specialties on file
2
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

1700 Clinton St
Muskegon, MI 49442-5502
Phone: (231) 726-3511
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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 5601007280 (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601007280 (MI)

Record details

NPI number1306236302
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 28, 2015
Last updated in NPPESJanuary 28, 2015

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 Lake Michigan Observation Services Pllc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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