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

Dr. Tyson Jensen Tidwell, DO

Individual provider Pediatrics Physician · NPI 1215347463

Dr. Tyson Jensen Tidwell, DO is a Pediatric Medicine in Heber City, Utah. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2014, 12 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Arizona, Texas and Utah.

Years since qualifying
12
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
AZ, TX, UT
In the registry since
2014
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.

See every abbreviation used in this directory →

Practice location Address checks out

454 E Medical Way
Heber City, UT 84032-1391
Phone: (435) 657-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 11271416-1204 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence R0967 (TX)
Hospitalist Physician Taxonomy 208M00000X · Licence 007623 (AZ)

Record details

NPI number1215347463
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 28, 2014
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022
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 specialtyPEDIATRIC MEDICINE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2014 (12 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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