Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER E LOOMER, DO
DeactivatedTYLER E LOOMER, DO is a Internal Medicine healthcare provider located in EDEN PRAIRIE, Minnesota. NPI 1033777677 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · EDEN PRAIRIE, MN
This NPI has been deactivated.
The record was deactivated on April 8, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1033777677
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2019 (0.86065573770492 yrs)
- Last Updated
- Oct 16, 2023
- Deactivated
- Apr 8, 2020
- License
-
70201 (MN)
Practice Information
- Address
-
775 PRAIRIE CENTER DR STE 300EDEN PRAIRIE, MN, 553447317Browse MN providers · Browse ZIP 55344
- Phone
- 9524280300
- Fax
- 9524280150
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in EDEN PRAIRIE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. GARY M IVINS | MD | 1083610356 |
| DR. LYNN MARIE DAVIS | M.D. | 1164748315 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.