Tyler L Crawford, MD
Individual provider Active NPI Diagnostic Radiology Physician · Provo, UT
NPI 1629029319 · NPPES record last updated Oct 14, 2015
Key facts
- NPI
- 1629029319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 5956231-1205 (UT)
- Practice address
- 1034 N 500 W
Provo, UT 84604-3380 - Phone
- (801) 373-7850
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Un of California, Irvine, College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Utah Valley Radiology Associates Inc
Practice addresses (Care Compare)
1034 N 500
Provo, UT 84604-3380
1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000
280 River Park Dr
Suite 120
Provo, UT 84604-5796
Phone (801) 229-2011
306 River Bend LN
Provo, UT 84604-5625
Phone (801) 226-5800
560 W 800
Orem, UT 84057-3746
Phone (801) 525-7770
Hospital & facility affiliations
- Intermountain Health Utah Valley Hospital
- American Fork Hospital
- Park City Hospital
- Intermountain Health Spanish Fork Hospital
- Orem Community Hospital
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060720000065 | UT | Practitioner - Diagnostic Radiology | 0143251397 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5956231-1205 | UT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Green River Radiology, P.C. | Diagnostic Radiology | Current |
Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current |
Accepting new patients | |
| St. George Radiology Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Bakorp, L.L.C. | Current |
Accepting new patients | |
| UCLA Radiology Medical Group | Body Imaging | Past | Accepting new patients |
| Riverwoods Urgent Care Center LC | Past |
Accepting new patients | |
| Ihc Health Services Inc | Diagnostic Radiology | Past | Accepting new patients |
| Ubmc Anesthesiology | Past |
Accepting new patients |
Locations
170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570
126 White Sage Ave
Delta, UT 84624
Phone (435) 864-5591
674 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555
48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000
331 N 400 W
Orem, UT 84057
Phone (801) 224-4080
412 W 800 N
Orem, UT 84057
Phone (801) 235-7246
560 W 800 N
Orem, UT 84057
Phone (801) 701-6504
458 W 800 N
Orem, UT 84057
Phone (801) 802-9728
900 Round Valley Dr
Park City, UT 84060
Phone (435) 658-7000
854 S Turf Farm Rd
Unit 1
Payson, UT 84651
Phone (801) 357-2860
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
1055 N 300 W
Ste 104
Provo, UT 84604
Phone (801) 357-7525
1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100
12842 S 3600 W
Ste 100
Riverton, UT 84065
Phone (385) 253-4586
250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691
250 W 300 N
Ste 752
Roosevelt, UT 84066
Phone (435) 722-4691
354 W State Road 73
Saratoga Springs, UT 84045
Phone (801) 341-5200
762 W 400 S
Springville, UT 84663
Phone (801) 429-1200
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
544 S 400 E
St George, UT 84770
Phone (435) 688-4000
1308 E 900 S
Ste C
St George, UT 84790
Phone (435) 673-2301
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
3930 W Parkway Blvd
West Valley City, UT 84120
Phone (435) 462-2441
190 Arrowhead Dr
Evanston, WY 82930
Phone (307) 789-3636
Interoperability endpoints
- https://api.platform.athenahealth.com/15493/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5956231-1205 | UT | Yes |
Addresses
Primary practice location
1034 N 500 W
Provo, UT 84604-3380
Mailing address
560W 800 N
Orem, UT 84057-3746
Phone (801) 225-6246
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107046837101 | Other | UT | IHC |
| 870284448TCR | Other | UT | EMIA |
| 870284448008 | Medicaid | UT | |
| 59562311205001 | Other | BLUE CROSS | |
| 934310 | Other | UT | DMBA |
Other providers in Provo, UT
- Jessica Ann Crapo
- Stephanie Craven
- Gary Lyle Crawford
- Smyly Crawford
- Taylor Crawford
- Analee Marie Creek
- Analee Creer
- Jami Creer
- Kami M Creer
- Timothy John Cregor
All providers in Provo, UT · Diagnostic Radiology Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.