Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tyler John Southwell, MD

Individual provider Family Medicine Physician · NPI 1194980367

Dr. Tyler John Southwell, MD is a Family Practice in Paradise Valley, Arizona. Graduated from Wayne State University School of Medicine in 2008, 18 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arizona and Michigan.

Years since qualifying
18
Trained at
Wayne State University School of Medicine
Licensed in
AZ, MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10599 N Tatum Blvd Ste F151
Paradise Valley, AZ 85253-1053
Phone: (480) 991-9271
Fax: (844) 284-7758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 47542 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301095075 (MI)

Record details

NPI number1194980367
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2008
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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