Tyson Jensen Tidwell, D.O.
NPI 1215347463ActiveIndividual· Pediatrics· Heber City, UT
Pediatrics (D.O.) in Heber City, Utah, trained at Arizona College of Osteopathic Medicine Mid Western University (class of 2014). Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1215347463 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Apr 28, 2014 |
| Last updated in NPPES | Apr 26, 2022 |
| Certified by provider | Apr 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 11271416-1204 | UT |
| Pediatrics | 208000000X | R0967 | TX |
| Hospitalist | 208M00000X | 007623 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (UT) |
|---|
Education and affiliations
| Medical school | Arizona College of Osteopathic Medicine Mid Western University |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Pediatric Medicine |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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