National Provider Identifier

Tyler John Wilson, DO

Tyler John Wilson, DO is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Rochester, NY and a listed phone number of (585) 756-4800.

NPI 1467147108Rochester, NYEmergency Medicine Physician

Profile Overview

NPI
1467147108
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
April 10, 2023
Last Updated
January 12, 2026

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 756-4800

Specialties

  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1467147108
Entity Type
Individual
Last Name
Wilson
First Name
Tyler
Middle Name
John
Name Prefix
Dr.
Credential
DO
Mailing Street Address
601 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 756-4800
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 756-4800
Enumeration Date
April 10, 2023
Last Updated
January 12, 2026
Sex
Male
Sole Proprietor
Yes
Certification Date
January 12, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X)