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

Tyler R Williamson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1225561939

Tyler R Williamson, MD is an Orthopedic Surgery in Mammoth Lakes, California. Graduated from New York University School of Medicine in 2017, 9 years ago. Practices with Northern Inyo Healthcare District, a 107-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Minnesota.

Years since qualifying
9
Trained at
New York University School of Medicine
Licensed in
CA, MN
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Phone: (760) 924-4084
Show map & directions

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

Additional practice locations (2)

  • 152 Pioneer Ln Ste A, Bishop, CA 93514-2563 — (760) 873-2623
  • 16800 37th Pl N, Plymouth, MN 55446 — (635) 207-8707

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A177935 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 74344 (MN)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 74344 (MN)

Record details

NPI number1225561939
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 10, 2017
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Northern Inyo Healthcare District — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Mammoth Lakes