NPIMap

Individual provider Active NPI

Tyler Mark Nixon, DO

  • Internal Medicine Physician
  • Layton, UT
National Provider Identifier
1669639985
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10699025-1204 Issued in UT
Practice address
1916 N 700 W Ste 250
Layton, UT 84041-5723
Phone
(801) 479-0312
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 10699025-1204 UT
Internal Medicine Physician 207R00000X 10699025-1204 UT Primary

Addresses

Primary practice location

1916 N 700 W Ste 250
Layton, UT 84041-5723

Mailing address

PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, UT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140520001518 CA Practitioner - Internal Medicine 0143419739 Reassigns benefits to 2 organizations
I20180417002469 UT Practitioner - Internal MedicinePractitioner - Hospitalist 0143419739 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santibanez Pac UtahGroup PAC ID 1355785437, 19 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

1205 E 4725
Millcreek, UT 84117-4917
Phone (801) 262-2908

451 E Bishop Federal LN
Salt Lake City, UT 84115-2357
Phone (888) 408-7008

Hospital & facility affiliations

  • Specialty Nursing Services Home health agency, Huntsville, UT, CCN 467110
  • Bristol Hospice - Utah, LLC Hospice, Ogden, UT, CCN 461566
  • Atlas Hospice Hospice, Layton, UT, CCN 461535
  • Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017
  • Monument Healthcare Bountiful Nursing home, Bountiful, UT, CCN 465112
  • Pine View Transitional Rehab Nursing home, South Ogden, UT, CCN 465155
  • Stonehenge of Ogden Nursing home, Washington Terrace, UT, CCN 465182
  • Cascades at Riverwalk Nursing home, Midvale, UT, CCN 465184
  • Monument Healthcare South Salt Lake Nursing home, Salt Lake City, UT, CCN 465146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
10699025-1204UTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Internal Medicine CurrentSince Oct 26, 2015 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Apr 10, 2018 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince May 12, 2025 Accepting new patients
Ogden Clinic Specialty Services LLC CurrentSince Oct 1, 2023 Accepting new patients
Gadzoom Health LLC CurrentSince Oct 21, 2023 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Apr 10, 2018 Accepting new patients
Ogden Clinic PC Internal Medicine Current Accepting new patients
Permanente Medical Group Inc Internal Medicine Current Accepting new patients
Santibanez Pac Utah CurrentSince Jan 1, 2024 Accepting new patients

Locations (25 of 26)

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

401 Bicentennial Way
Santa Rosa, CA 95403
Phone (707) 393-4000

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

1916 N 700 W
Ste 250
Layton, UT 84041
Phone (801) 479-0312

3401 N Thanksgiving Way
Ste 190
Lehi, UT 84048
Phone (385) 454-5027

1205 E Bonner Way
Millcreek, UT 84117
Phone (801) 262-2908

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

1992 S Columbia Ln
Orem, UT 84097
Phone (801) 724-6500

4782 S Holladay Blvd
Salt Lake Cty, UT 84117
Phone (801) 277-7002

2730 E 3300 S
Salt Lake Cty, UT 84109
Phone (801) 487-0896

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

6112 S Harrison
South Ogden, UT 84405
Phone (801) 475-3800

1497 E Skyline Dr
South Ogden, UT 84405
Phone (801) 689-1600

451 E Bishop Federal Ln
South Salt Lake, UT 84115
Phone (801) 487-7557

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pine View Transitional RehabSouth Ogden, UT, CCN 465155 Skilled nursing facility Adp of the SNF May 1, 2025
Stonehenge of OgdenWashington Terrace, UT, CCN 465182 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 14, 2019
Jan 14, 2019
Monument Healthcare Pioneer TrailBrigham City, UT, CCN 465020 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 7, 2025
Feb 7, 2025
Monument Healthcare Brigham CityBrigham City, UT, CCN 465093 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 7, 2025
Feb 7, 2025
Monument Healthcare BountifulBountiful, UT, CCN 465112 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2024
Feb 1, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1669639985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5546",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175546",
            "telephone_number": "801-475-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 N 700 W STE 250",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415723",
            "telephone_number": "801-479-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "TYLER",
        "middle_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "10699025-1204",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "10699025-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.