P Praxis·MD
● Active Type 1 · Individual

Tyler Gilliland, M.D.

Surgery·Meridian, ID· NPI 1790217362 · Enumerated 2017 · 9 years on NPI
Gilliland is 1 of 28 surgery providers in Meridian and 1 of 260 in Idaho.
NPI age
9 years
Enumerated 2017-04-01
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
ID, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 260 active surgery providers in Idaho.

NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-04Enumerated in NPPES
2017 2026

Where they practice

Practice location
520 S Eagle Rd Ste 1241
Meridian, ID 836426355
📞 2083816930fax 2083816931
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

1 secondary location on file with NPPES.

Location 2
101 Bodin Cir
Travis Afb, CA 945351809
📞 7074235224

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    ID license #9971497OH license #35.135779 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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