IndividualActive
Tyler Vernon, DO
NPI 1558065094 · Student in an Organized Health Care Education/Training Program · Indianapolis, IN
Provider details
- NPI number
- 1558065094
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 11023099A (IN)
Student, Health Care
Student, Health Care
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10122 E 10th St Ste 100
Indianapolis, IN 46229-2697
Phone: (317) 355-5717
Street-level locationGet directions
Mailing address
10122 E 10th St Ste 100
Indianapolis, IN 46229-2697
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2023-06-14
- Certified
- 2023-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.