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

Dr. Tyler Ross Hanny, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700452901

Dr. Tyler Ross Hanny, DO is a Family Practice in Logan, Utah. Qualified in 2023, 3 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Utah.

Years since qualifying
3
Licensed in
AZ, UT
In the registry since
2021
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

412 N 200 E
Logan, UT 84321-4038
Phone: (435) 713-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2920 N 4th St, Flagstaff, AZ 86004-1816 — (928) 522-9400

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13680528-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence R3693 (AZ)

Record details

NPI number1700452901
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 28, 2021
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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