Active NPI
Tyler J D'Hulst, PA-C
- Physician Assistant
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7437974-1206
- Practice address
- 6112 S 1550 E
Ogden, UT 84405-5007 - Phone
- (801) 475-3800
- Fax
- (801) 475-3801
- NPI assigned
- Aug 20, 2009
- Last updated
- Feb 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7437974-1206 | UT | Primary |
Addresses
Primary practice location
6112 S 1550 E
Ogden, UT 84405-5007
Mailing address
4650 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1739 W Sunset Blvd
St George, UT 84770-7141
Phone (435) 634-6000
5373 S Green St
Suite 400
Murray, UT 84123-4740
Phone (866) 415-6556
577 S River Rd
St George, UT 84790-2097
Phone (435) 688-6200
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
75 N 2260
Hurricane, UT 84737-2034
Phone (435) 251-2650
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Midtown Community Health Center Inc | Current | Accepting new patients | |
| Ogden Clinic Specialty Services LLC | Physician Assistant | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
4088 N Highway 91
Hyde Park, UT 84318
Phone (435) 563-4888
201 W Layton Pkwy
Layton, UT 84041
Phone (801) 543-6000
201 W Layton Pkwy
Ste 1A
Layton, UT 84041
Phone (801) 543-6775
412 N 200 E
Logan, UT 84321
Phone (435) 713-2710
1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000
2240 Adams Ave
Ogden, UT 84401
Phone (801) 393-5355
2400 N Washington Blvd
Ogden, UT 84414
Phone (801) 387-8300
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100
1915 W 5950 S
Roy, UT 84067
Phone (801) 387-8100
6112 S Harrison
South Ogden, UT 84405
Phone (801) 475-3800
975 Chambers St
South Ogden, UT 84403
Phone (801) 387-6200
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Family Medicine Physician
- Brigham City, UT
- NPI 1053861567
-
- Federally Qualified Health Center (FQHC)
- Ogden, UT
- NPI 1548267420
-
dba Snowbird Clinic
- Emergency Medicine Physician
- Snowbird, UT
- NPI 1275815565
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba MTCHC Logan Clinic
- Federally Qualified Health Center (FQHC)
- Logan, UT
- NPI 1053780171
-
dba Ogden Clinic PC
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
Physician Assistant
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.