| Dr Tyler Holliday, MD | |
| 901 Harry S Truman Dr N, Largo, MD 20774-5477 | |
| (240) 667-2025 | |
| Not Available | 
| Full Name | Dr Tyler Holliday | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Trauma Surgery | 
| Location | 901 Harry S Truman Dr N, Largo, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699207654 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2086S0127X | Surgery - Trauma Surgery | D0097603 (Maryland) | Primary | 
| Entity Name | Shock Trauma Associates Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679512909 PECOS PAC ID: 6800882317 Enrollment ID: O20040421000976 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Tyler Holliday, MD 901 Harry S Truman Dr N, Largo, MD 20774-5477 Ph: (240) 677-2025 | Dr Tyler Holliday, MD 901 Harry S Truman Dr N, Largo, MD 20774-5477 Ph: (240) 667-2025 | 
| Matthew Adam Gilbert Schechter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 240-677-1000 | |
| Dr. Benjamin Daniel Powers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Harry Truman Dr N, Largo, MD 20774 Phone: 667-214-1718 Fax: 410-706-6976 | |
| Dr. Nini Khozeimeh, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 | |
| Dr. Donna M Pittman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5638 Fax: 301-618-5673 |