Active NPIIndividual provider

Dr. Tyler B Draeger, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Warwick, Rhode Island

NPI Number1184074098
Practice location
455 Toll Gate RD, Warwick, RI 02886-2759
Fax
401-738-0013
Last updated
December 8, 2023

Tyler Brendan Draeger is a Thoracic Surgery (Cardiothoracic Vascular Surgery) based in Warwick, RI. Tyler Brendan Draeger practices in Warwick, RI and has the professional credentials of MD. The NPI Number for Tyler Brendan Draeger is 1184074098 and holds a License No. 292835 (MA). The current practice location address for Tyler Brendan Draeger is 455 Toll Gate RD, Warwick, RI 02886-2759 and can be reached out via phone at 401-736-1092 and via fax at 401-738-0013.

Provider Profile Details

NPI Number
1184074098
Provider Name
Tyler Brendan Draeger
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
455 Toll Gate RD, Warwick, RI 02886-2759
Phone Number
401-736-1092
Fax Number
401-738-0013
Sole Proprietor
No
Provider Enumeration Date
June 21, 2016
Last Update Date
December 8, 2023
Certification Date
December 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
455 Toll Gate RD
Warwick, RI 02886-2759
Zip
02886-2759
Phone Number
401-736-1092
Fax Number
401-738-0013
Warwick, RI 02886Get directions →

Provider Business Mailing Address Details

Address
75 Francis St
Division Of Thoracic Surgery
Boston, MA 02115-6106
City
Boston
State
MA
Zip
02115-6106
Phone Number
617-525-6757

License Information

License Number (1)
292835
License State (1)
MA
Taxonomy (1)
Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X · Primary
License Number (2)
A160740
License State (2)
CA
Taxonomy (2)
Surgery · 208600000X
License Number (3)
MD19384
License State (3)
RI

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Tyler B Draeger, MD?

The NPI number of Dr. Tyler B Draeger, MD is 1184074098. It was assigned on June 21, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Tyler B Draeger, MD?

Dr. Tyler B Draeger, MD is registered under the primary taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in MA under license number 292835.

Where does Dr. Tyler B Draeger, MD practice?

The practice location is 455 Toll Gate RD, Warwick, RI 02886-2759. The office can be reached at 401-736-1092 (phone) or 401-738-0013 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184074098 directly on the NPPES registry website.

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