Provider Demographics
NPI:1407072481
Name:TONY L BYLER MD LLC
Entity Type:Organization
Organization Name:TONY L BYLER MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BYLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-374-6338
Mailing Address - Street 1:PO BOX 643
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-0643
Mailing Address - Country:US
Mailing Address - Phone:740-374-5853
Mailing Address - Fax:740-374-6332
Practice Address - Street 1:701 HILDRETH LN
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1768
Practice Address - Country:US
Practice Address - Phone:740-374-6338
Practice Address - Fax:740-374-6066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350656702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV9334124Medicare PIN
OH9334121Medicare PIN
WV9334123Medicare PIN