Tyson Tidwell, D.O.
NPI 1215347463 · Pediatrics Physician · Heber City, UT
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyson Tidwell, D.O. is a Pediatrics Physician provider in Heber City, UT (NPI 1215347463).
Provider details
- NPI number
- 1215347463
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- R0967 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-04-28
- Last updated
- 2022-04-26
- Certified
- 2022-04-26
Frequently asked questions
- What is Tyson Tidwell's NPI number?
- Tyson Tidwell's National Provider Identifier (NPI) is 1215347463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyson Tidwell's specialty?
- Tyson Tidwell is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Tyson Tidwell located?
- Tyson Tidwell's practice location on file with NPPES is 454 E Medical Way, Heber City, UT 84032-1391.
- What is Tyson Tidwell's phone number?
- The practice phone number listed in the NPPES registry for Tyson Tidwell is (435) 657-4400.
- Does Tyson Tidwell accept Medicare?
- Tyson Tidwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyson Tidwell's NPI active?
- Yes — Tyson Tidwell's NPI (1215347463) is active in the NPPES registry as of the last update on 2022-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.