Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Todd Dale Lythgoe, PA-C

Individual provider Physician Assistant · NPI 1477571065

Todd Dale Lythgoe, PA-C is a Physician Assistant in Bountiful, Utah. Qualified in 1997, 29 years ago. Practices with Ogden Clinic Specialty Services LLC, a 133-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
29
Licensed in
UT
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1560 Renaissance Towne Dr Ste 210
Bountiful, UT 84010-7680
Phone: (801) 397-6100
Fax: (801) 397-6101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8092052-1206 (UT)

Record details

NPI number1477571065
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESJanuary 17, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Ogden Clinic Specialty Services Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Bountiful