Tyler J D'Hulst, PA-C

Key facts

NPI

1386876530

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

7437974-1206 (UT)

Practice address

6112 S 1550 E
Ogden, UT 84405-5007

Phone

(801) 475-3800

Fax

(801) 475-3801

NPI assigned

Aug 20, 2009

Sex

Male

Sole proprietor

No

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midtown Community Health Center Inc Federally Qualified Health Center (FQHC) · Ogden, UT · NPI 1548267420
  Medicare reassignment NPD UT
• Advantage Medical Center LLC Family Medicine Physician · Brigham City, UT · NPI 1053861567
  Medicare reassignment UT
• Ihc Health Services Inc Multi-Specialty Clinic/Center · Sandy, UT · NPI 1942325154
  Medicare reassignment UT
• Ihc Health Services Inc Emergency Medicine Physician · Snowbird, UT · NPI 1275815565
  NPD
• Ihc Health Services, Inc. Psychiatry Physician · St George, UT · NPI 1023843844
  NPD
• Midtown Community Health Center Inc Federally Qualified Health Center (FQHC) · Logan, UT · NPI 1053780171
  NPD
• Ogden Clinic Specialty Services LLC Sports Medicine (Family Medicine) Physician · Ogden, UT · NPI 1114203668
  NPD PHYSICIAN ASSISTANT
• Ihc Health Services Inc Multi-Specialty Clinic/Center · Orem, UT · NPI 1588601124
  NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc. General Acute Care Hospital · St George, UT · NPI 1366452880
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihc Health Services Inc (3,948 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. George Regional Hospital Hospital · St George, UT · CCN 460021

Medicare participation

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 5, 2015.

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1386876530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034303",
            "telephone_number": "801-475-3481",
            "fax_number": "801-475-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844055007",
            "telephone_number": "801-475-3800",
            "fax_number": "801-475-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'HULST",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "7437974-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

• Curtis M Campbell, MD, PC
• Tessa Rachel Curtis, APRN, AGACNP
• Amy Curzon, RN
• Breana Cutler
• Bethany Czuba, LCSW
• Amanda Marie Dabb, L.C.S.W.
• Carly M. Dahl, MD
• Chris H Dahlberg, P.T.
• Matthew Eric Dahlin, LCSW
• Olga Lucia Daich

All providers in Ogden, UT · Physician Assistant in Utah