Tyler Northrup
Tyler Northrup is an Emergency Medicine in Lewistown, Montana. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Montana.
- Years since qualifying
- 4
- Trained at
- Pacific NW Un of Hs, Col of Osteopathic Medicine
- Licensed in
- MT
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
408 Wendell AveLewistown, MT 59457-2261
Phone: (406) 535-7711
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 — (586) 263-2300
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence MED-PHYS-LIC-174119 (MT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1801530191 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2022 |
| Last updated in NPPES | June 1, 2026 |
| Certification date | June 1, 2026 |
| Mailing address | 408 Wendell Ave, Lewistown, MT 59457-2261 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |