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

Randall Tyler Hansen, DO

Individual provider Family Medicine Physician · NPI 1831459361

Randall Tyler Hansen, DO is a Family Practice in Provo, Utah. Qualified in 2012, 14 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
14
Licensed in
UT
In the registry since
2012
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

475 W 940 N
Provo, UT 84604-3301
Phone: (801) 357-7930
Fax: (801) 357-7014
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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 8699702-1204 (UT)

Record details

NPI number1831459361
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 17, 2012
Last updated in NPPESJanuary 22, 2016
Mailing address475 W 940 N, Provo, UT 84604-3301

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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