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

Tyler Joshua Mitchum, DO

Individual provider Family Medicine Physician · NPI 1992375752

Tyler Joshua Mitchum, DO is a Family Practice in Yukon, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2021, 5 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
5
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2021
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

1205 Health Center Pkwy Ste 100
Yukon, OK 73099-6396
Phone: (405) 717-5400
Fax: (405) 717-5467
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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 7765 (OK)

Record details

NPI number1992375752
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 24, 2021
Last updated in NPPESAugust 5, 2024
Certification dateJune 17, 2024
Mailing address3001 Quail Springs Pkwy Fl 5, Oklahoma City, OK 73134-2640

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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