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NPI 1780401554ActiveOrganization· Physician Assistant· Lehi, UT

Physician Assistant in Lehi, Utah, registered in NPPES in September 2024. The authorized official on file is Tyson Wilcox, PA-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1780401554
StatusActive
Entity typeOrganization
NPI issuedSep 24, 2024
Last updated in NPPESSep 24, 2024
Certified by providerSep 23, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (UT)

Medicare sources and data years

Other Physician Assistant providers in Lehi

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