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

Tyson Wilcox

Individual provider Physician Assistant · NPI 1194379040

Tyson Wilcox is a Physician Assistant in Draper, Utah. Qualified in 2019, 7 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019

Practice location Address checks out

11593 S Douglas Vista Dr
Draper, UT 84020-1480
Phone: (801) 592-7884
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1194379040
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 30, 2019
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023
Mailing address11593 S Douglas Vista Dr, Draper, UT 84020-1480

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Draper