MEDICARE: DR. TYLER JOHN WILSON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	341390	NY

General Provider Information

NPI Number	:	1467147108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TYLER JOHN WILSON DO

Provider Business Mailing Address
First Line	:	601 ELMWOOD AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14642-0001
Country	:	US
Telephone Number	:	585-756-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 ELMWOOD AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14642-0001
Country	:	US
Telephone Number	:	585-756-4800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2023
Last Update Date	:	01/12/2026

Similar Medicare Providers

1881561207 — CARRAH A MCALEES NP
Practice Location Address:

300 CRITTENDEN BLVD
ROCHESTER, NY
14642-0001

Practice Phone: 585-276-3700
Practice Fax:

1245720093 — SOPHIA E RUSS MD
Practice Location Address:

601 ELMWOOD AVE BOX MED
ROCHESTER, NY
14642-0001

Practice Phone: 585-275-2874
Practice Fax:

1770070534 — CAROLINE ANNA MILLER
Practice Location Address:

601 ELMWOOD AVENUE, BOX 608
ROCHESTER, NY
14642-0001

Practice Phone: 585-275-3191
Practice Fax: 585-273-3637

1457814519 — JACKY ZAHEDHA AKHTER MD
Practice Location Address:

601 ELMWOOD AVENUE, BOX 626
ROCHESTER, NY
14642-0001

Practice Phone: 585-275-3191
Practice Fax: 585-273-3637

1952759706 — SHONTA MCFAYDEN
Practice Location Address:

601 ELMWOOD AVE
ROCHESTER, NY
14642-0001

Practice Phone: 585-275-6080
Practice Fax:

1124858253 — MIRA SIRIANNI
Practice Location Address:

601 ELMWOOD AVE
ROCHESTER, NY
14642-0001

Practice Phone: 585-275-6366
Practice Fax:

Directions to “ DR. TYLER JOHN WILSON DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.