Tyson Jensen Tidwell, D.O.
Pediatrics Physician · Heber City, UT
Tyson Jensen Tidwell, D.O. is a pediatrics physician with a practice address in Heber City, Utah, and NPI 1215347463, issued on Apr 28, 2014. Check the license (Utah 11271416-1204, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Tyson Jensen Tidwell
- Credential
- D.O.
- Primary taxonomy
- Pediatrics Physician 208000000X
- License numbers
- 11271416-1204 UT
007623 AZ
R0967 TX
Self-reported in NPPES; status is on the state search - Practice location
- 454 E Medical Way, Heber City, UT 84032
- Phone
- (435) 657-4400
- Enumerated
- Apr 28, 2014
- Record last updated
- Apr 26, 2022
- Medicare enrollment
- Enrolled (PECOS I20200205000936); accepts Medicare assignment
- Medical or professional school
- Arizona College Of Osteopathic Medicine Mid Western University, 2014
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 670 in Utah → Look up another NPI →
Also registered at 454 E Medical Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Erin Allen, NPFamily Nurse Practitioner1508573684
- Tyson Broadbent, MDInternal Medicine Physician1699353532
- Kristin Brown, PA-CPhysician Assistant1336584861
- David Burrow, M.D.Psychiatry Physician1699060079
- Erick Christensen, M.D.Internal Medicine Physician1508212044
- Francis DolceAthletic Trainer1346174042
Verify Tyson Jensen Tidwell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 11271416-1204Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Ihc Health Services IncHeber City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Tyson Jensen Tidwell among 670 pediatrics physician records in Utah
Tyson Jensen Tidwell, D.O. is one of 670 pediatrics physician records with a practice address in Utah. 37% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 69% of them.
- NPI issued2014 · 69% of these records are older, 29% newer
- In a Medicare fileYes · 37% of these records are
- In the CMS Doctors and Clinicians fileYes · 9% of these records are
- Graduated2014 · median 2009 among the 57 with a school on file
- Record last updated2022 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
4 pediatrics physician records list a practice address in Heber City
They are 4 of the 278 NPPES records with a practice address in Heber City, and 670 pediatrics physician records in Utah.
All 670 in Utah → Every provider in Heber City → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- David Larson, MDHeber City, UT 840321356324511
- Cady McAnally, M.D.Heber City, UT 840321073967717
- Kathryn Murray, M.D.Heber City, UT 840321821415159
- Claudia Castelnovi, M.D.Kaysville, UT 840371417279324
- Earl Judd, MDFarmington, UT 840251679555387
- Eleni Miller, DOFarmington, UT 840251992237374
- Paul Morrison, M.D.Farmington, UT 840251265695191
- Mari Luce, M.D.Layton, UT 840401235211004
Common questions
What is Tyson Jensen Tidwell, D.O.'s NPI number?
Tyson Jensen Tidwell, D.O.'s National Provider Identifier (NPI) is 1215347463, issued on Apr 28, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Tyson Jensen Tidwell, D.O. located?
The NPPES record lists a practice address at 454 E Medical Way, Heber City, UT, 84032. Phone: (435) 657-4400. Providers update this record themselves, so call before visiting.
How can I verify Tyson Jensen Tidwell, D.O.'s license?
NPPES lists Utah license number 11271416-1204, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.