Individual
TYLER S ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-2000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01076691A
IN
208000000X
Pediatrics Physician
01076691A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
01076691A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001025013
ANTHEM PTAN
IN
05
—
201360550
—
IN
Enumeration date
04/13/2010
Last updated
02/26/2025
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