Tyson Darrell Greener, PA-C
Tyson Darrell Greener, PA-C is a Physician Assistant in Burley, Idaho. Qualified in 2024, 2 years ago. Practices with Minidoka Memorial Hospital, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 2
- Licensed in
- ID
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
260 E 5th St NBurley, ID 83318-3453
Phone: (208) 678-9760
Fax: (208) 678-9758
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)
- 1224 8th St, Rupert, ID 83350-1599 — (208) 436-0481
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 6571244 (ID) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1356123863 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2023 |
| Last updated in NPPES | February 7, 2025 |
| Certification date | February 5, 2025 |
| Mailing address | 684 E 400 N, Rupert, ID 83350-9460 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Minidoka Memorial Hospital — 39 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |