Individual provider · Type 1 NPI

Tyler James Moon, MD

Orthopaedic Surgery Physician · St. Paul, MN

NPI number 1871120741 Active

Practice location

640 Jackson St
St. Paul, MN 55101-2502

Call (651) 254-2005 Map

Fax (651) 254-1519

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 6431 Fannin St Ste Jjl 310, Houston, TX 77030-1501 · (314) 809-3938

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Orthopaedic Surgery Physician Primary 207X00000X81869 (MN)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1871120741

Tyler James Moon, MD's National Provider Identifier is 1871120741, issued on Mar 23, 2020. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in St. Paul, MN. The record was last updated on Sep 23, 2026.