Organization
COLORADO INSTITUTE FOR PAIN MANAGEMENT LLC
Active
Other names
John M Tyler Jr MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MASON TYLER JR. M.D. (PHYSICIAN)
(719) 599-5753
Entity
Organization
Contact information
Practice address
3910 S CAREFREE CIR STE C, COLORADO SPRINGS, CO 80917-3053
(719) 599-5753
(719) 599-5817
Mailing address
3910 S CAREFREE CIR STE C, COLORADO SPRINGS, CO 80917-3053
(719) 599-5753
(719) 599-5817
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
30232
CO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
30232
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103200300
DEPARTMENT OF LABOR PROVIDER ID
CO
01
—
4489508
CIGNA PROVIDER ID
CO
Enumeration date
03/05/2015
Last updated
12/19/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us