DR. JARED JOHN TYSON (NPI# 1356514350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356514350 |
| Entity Type | Individual |
| Full Name | DR. JARED JOHN TYSON |
| Credential | M.D. |
| Practice Address |
1551 Renaissance Towne Dr Suite 400 Bountiful UT 84010-7667 |
| Practice Telephone | 8012957200 |
| Practice Fax Number | 8012954930 |
| Mailing Telephone | 8012957200 |
| Mailing Fax Number | 8012954930 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2016-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 8915908-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1551 RENAISSANCE TOWNE DR SUITE 400 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-7667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261431 | Curtis Brian Jolley | Physical Therapist | 1551 Renaissance Towne Dr, Ste 350, Bountiful, UT 84010-7667 | 2005-08-02 |
| 1346776127 | Kelli R Loveland | Audiologist | 1551 Renaissance Towne Dr, Bountiful, UT 84010 | 2017-05-11 |
| 1235505587 | Children's Dentistry | Dentist | 1551 Renaissance Towne Dr, Ste 540, Bountiful, UT 84010-7667 | 2015-08-20 |
| 1811370836 | Melanie Chamberlain | Physical Therapist | 1551 Renaissance Towne Dr, Ste 350, Bountiful, UT 84010-7667 | 2015-07-08 |
| 1306236492 | Jared J Tyson Md PC | Specialist | 1551 Renaissance Towne Dr, Suite 400, Bountiful, UT 84010-7667 | 2015-01-28 |
| 1033522933 | Jill Freitas Calderwood | Audiologist | 1551 Renaissance Towne Dr, Bountiful, UT 84010-7667 | 2014-06-09 |
| 1326475831 | Michelle Horne | Specialist/Technologist | 1551 Renaissance Towne Dr, Suite 420, Bountiful, UT 84010-7667 | 2013-09-28 |
| 1194098020 | Jordan Scott Carver | Pharmacist | 1551 Renaissance Towne Dr, #104, Bountiful, UT 84010-7667 | 2012-02-23 |
| 1790066124 | Stuart Chase Sondrup | Physical Therapist | 1551 Renaissance Towne Dr, Ste 350, Bountiful, UT 84010-7667 | 2011-08-30 |
| 1376821587 | Canyon Ridge Pain and Spine PC | Pain Medicine | 1551 Renaissance Towne Dr, Suite 460, Bountiful, UT 84010-7667 | 2011-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538331871 | Christopher Steven English | Orthopaedic Surgery | 1551 Renaissance Towne Dr Ste 400, Bountiful, UT 84010-7676 | 2008-03-27 |
| 1528120409 | Gordon W Affleck Md PC | Orthopaedic Surgery | 1517 S 1500 E, Bountiful, UT 84010 | 2006-12-15 |
| 1396296216 | Clint J Wooten Md PC | Orthopaedic Surgery | 1551 Renaissance Towne Dr Ste 400, Bountiful, UT 84010-7676 | 2016-10-14 |
| 1629349311 | Gordon W. Affleck | Orthopaedic Surgery | 1517 S 1500 E, Bountiful, UT 84010-1540 | 2012-01-26 |
| 1730317652 | Clint John Wooten | Orthopaedic Surgery | 1551 Renaissance Towne Dr, Suite 400, Bountiful, UT 84010-7667 | 2009-06-30 |
| 1902941479 | David W Stevens | Orthopaedic Surgery | 1551 Renaissance Towne Dr, Ste. 400, Bountiful, UT 84010-7667 | 2007-02-21 |
| 1508907304 | Micheal M Hess | Orthopaedic Surgery | 1551 Renaissance Towne Dr, Ste. 400, Bountiful, UT 84010-7667 | 2007-02-12 |
| 1942341706 | John C Edwards | Orthopaedic Surgery | 1551 Renaissance Towne Dr, Ste. 400, Bountiful, UT 84010-7667 | 2007-02-12 |
| 1407997273 | Eric C Johnston | Orthopaedic Surgery | 1551 Renaissance Towne Dr, Ste. 400, Bountiful, UT 84010-7667 | 2007-02-12 |
| 1508907387 | Steven B Huish | Orthopaedic Surgery | 1551 Renaissance Towne Dr, Ste. 400, Bountiful, UT 84010-7667 | 2007-02-12 |
| Find all providers in BOUNTIFUL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.