Provider Demographics
NPI:1154326361
Name:BYLER, TONY L (MD)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:L
Last Name:BYLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6530 LEO DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-4852
Mailing Address - Country:US
Mailing Address - Phone:304-482-8322
Mailing Address - Fax:
Practice Address - Street 1:6530 LEO DR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-4852
Practice Address - Country:US
Practice Address - Phone:304-482-8322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045728L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0944456Medicaid
WV0115786000Medicaid
OH0751544Medicare PIN
OH0944456Medicaid
WV0751548Medicare PIN