Active NPIIndividual provider

Tyler Poublon, MD

Radiology, Diagnostic Radiology in South Weymouth, Massachusetts

NPI Number1386091320
Practice location
55 Fogg RD, South Weymouth, MA 02190-2432
Fax
781-624-3719
Last updated
November 10, 2026

Tyler Poublon is a Radiology, Diagnostic Radiology based in South Weymouth, MA. Tyler Poublon practices in South Weymouth, MA and has the professional credentials of MD. The NPI Number for Tyler Poublon is 1386091320 and holds a License No. 308884 (NY). The current practice location address for Tyler Poublon is 55 Fogg RD, South Weymouth, MA 02190-2432 and can be reached out via phone at 781-624-8000 and via fax at 781-624-3719.

Provider Profile Details

NPI Number
1386091320
Provider Name
Tyler Poublon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Fogg RD, South Weymouth, MA 02190-2432
Phone Number
781-624-8000
Fax Number
781-624-3719
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
May 19, 2016
Last Update Date
November 10, 2026
Certification Date
November 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fogg RD
South Weymouth, MA 02190-2432
Zip
02190-2432
Phone Number
781-624-8000
Fax Number
781-624-3719
South Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
Po Box 200694
Pittsburgh, PA 15251-0694
City
Pittsburgh
State
PA
Zip
15251-0694
Phone Number
833-324-6904
Fax Number
302-440-5783

License Information

License Number
308884
License State
NY
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

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

Other Radiology, Diagnostic Radiology providers near South Weymouth, MA

View all Radiology, Diagnostic Radiology providers in South Weymouth →

Frequently Asked Questions

What is the NPI number of Tyler Poublon, MD?

The NPI number of Tyler Poublon, MD is 1386091320. It was assigned on May 19, 2016 and is currently active in the NPPES registry.

What is the specialty of Tyler Poublon, MD?

Tyler Poublon, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NY under license number 308884.

Where does Tyler Poublon, MD practice?

The practice location is 55 Fogg RD, South Weymouth, MA 02190-2432. The office can be reached at 781-624-8000 (phone) or 781-624-3719 (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 1386091320 directly on the NPPES registry website.

Browse related providers