JARED J TYSON MD PC
NPI 1306236492
Specialist in Bountiful, UT

Q: What is Jared J Tyson MD PC's NPI number?

The NPI number for Jared J Tyson MD PC is 1306236492. It was assigned to this organization in the NPPES registry on January 28, 2015.

Q: What is Jared J Tyson MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 28, 2015

1551 RENAISSANCE TOWNE DR, SUITE 400, BOUNTIFUL, UT 84010(801) 295-7200(801) 295-4930 Get Directions Write a Review

NPPES record last updated: January 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jared J Tyson Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED J TYSON MD PC (NPI 1306236492) is a healthcare organization registered as a specialist in Bountiful, Utah and active in the NPI registry since January 2015. The organization lists Annette Simmons, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306236492

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameJARED J TYSON MD PC

Location Address1551 RENAISSANCE TOWNE DR, SUITE 400Bountiful, UT 84010-7667

Mailing Address1551 Renaissance Towne Dr, Suite 400Bountiful, UT 84010-7667 · (801) 295-7200 · Fax (801) 295-4930

Phone(801) 295-7200

Fax(801) 295-4930

Organization SubpartNo

Authorized OfficialAnnette SimmonsOffice Manager · (801) 295-7200

Enumeration DateJanuary 28, 2015

✔ NPI 1306236492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in UT · 8915908-1205

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1551 RENAISSANCE TOWNE DR, Bountiful, UT 84010

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL FREITAS CALDERWOOD AU.D.

Audiologist

1551 RENAISSANCE TOWNE DR
BOUNTIFUL, UT 84010

Davis County (801) 295-5581

COMPREHENSIVE IMAGING SERVICES LLC

Radiology (Diagnostic Radiology)

1551 RENAISSANCE TOWNE DR
BOUNTIFUL, UT 84010

Davis County (801) 298-7272

BRANDI MARIE HARRIS

Physician Assistant

1551 RENAISSANCE TOWNE DR
BOUNTIFUL, UT 84010

Davis County (801) 295-7200

JORDAN SCOTT CARVER PHARMD

Pharmacist

1551 RENAISSANCE TOWNE DR, #104
BOUNTIFUL, UT 84010

Davis County (801) 295-6979

DR. MARK L NELSON D.D.S

Dentist (Pediatric Dentistry)

1551 RENAISSANCE TOWNE DR, SUITE 540
BOUNTIFUL, UT 84010

Davis County (801) 295-8322

CHILDREN'S DENTISTRY

Dentist (Pediatric Dentistry)

1551 RENAISSANCE TOWNE DR, STE 540
BOUNTIFUL, UT 84010

Davis County (801) 295-8322

CURT ROBERT STOCK M.D.

Otolaryngology

1551 RENAISSANCE TOWNE DR, SUITE 310
BOUNTIFUL, UT 84010

Davis County (801) 295-5581

R PEPPER MURRAY M.D.

Orthopaedic Surgery

1551 RENAISSANCE TOWNE DR, STE. 400
BOUNTIFUL, UT 84010

Davis County (801) 295-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared J Tyson MD PC's NPI number?

The NPI number for Jared J Tyson MD PC is 1306236492. It was assigned to this organization in the NPPES registry on January 28, 2015.

Where is Jared J Tyson MD PC located?

Jared J Tyson MD PC is located at 1551 Renaissance Towne Dr Suite 400, Bountiful, UT 84010. The listed phone number is (801) 295-7200.

What is Jared J Tyson MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jared J Tyson MD PC was last updated on January 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.