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

Travis Todd McKenzie, DO

Individual provider Vascular & Interventional Radiology Physician · NPI 1386900595

Travis Todd McKenzie, DO is a Diagnostic Radiology in Ogden, Utah. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2012, 14 years ago. Practices with Tellica Imaging - Washington LLC, a 43-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
14
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
UT
In the registry since
2012
Specialties on file
2
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

4401 Harrison Blvd
Ogden, UT 84403
Phone: (801) 387-2800
Show map & directions

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

Additional practice locations (3)

  • 2601 E Roosevelt St, Phoenix, AZ 85008-4973 — (801) 641-8842
  • 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 — (801) 507-7000
  • 8th Ave & C Street, Salt Lake City, UT 84143-4973 — (801) 408-1100

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 10246349-1204 (UT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 10246349-1204 (UT)

Record details

NPI number1386900595
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2012
Last updated in NPPESSeptember 26, 2018
Mailing address5444 S Green St, Murray, UT 84123-5632

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2012 (14 years in practice)
Group practice Tellica Imaging - Washington Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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