Tyler Northrup

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801530191

Tyler Northrup is an Emergency Medicine in Lewistown, Montana. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Montana.

Years since qualifying: 4
Trained at: Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in: MT
In the registry since: 2022
Specialties on file: 2

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Lewistown, MT

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

15855 19 Mile Rd, Clinton Twp, MI 48038-3504 — (586) 263-2300

Specialties & licences

Emergency Medicine Physician (primary)	Taxonomy 207P00000X · Licence MED-PHYS-LIC-174119 (MT)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1801530191
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	April 23, 2022
Last updated in NPPES	June 1, 2026
Certification date	June 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	EMERGENCY MEDICINE
Medical school	PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated	2022 (4 years in practice)
Accepts Medicare assignment	Not indicated