Individual
TYLER J STEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003276A
IN
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001634423
ANTHEM PTAN
IN
01
—
1102558721
ANTHEM PTAN
IN
01
—
264430D56
MEDICARE PTAN
IN
01
—
267030329
MEDICARE PTAN
IN
05
—
300052938
—
IN
01
—
IN2614152
MEDICARE PTAN
IN
01
—
Q00343207
RAILROAD PTAN
IN
Enumeration date
05/24/2021
Last updated
02/17/2025
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