Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER DEJONG, MD
ActiveTYLER DEJONG, MD is a Sports Medicine (EM) healthcare provider located in PHOENIX, Arizona. NPI 1477135614 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · PHOENIX, AZ
Registration Details
- NPI Number
- 1477135614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2021 (5.3025094388716 yrs)
- Last Updated
- Sep 9, 2025
- Licenses
-
77231 (AZ)77231 (AZ)
Practice Information
- Address
-
500 W THOMAS RD STE 800PHOENIX, AZ, 850134217Browse AZ providers · Browse ZIP 85013
- Phone
- 6024061234
- Fax
- 6024066368
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Sports Medicine (EM)
Other Sports Medicine (EM) Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID CHRISTIAN CHAPMAN | MD | 1679783914 |
| DR. KELLY JANE BLACK | MD | 1700096955 |
| TARA LOWY | ATC | 1104412915 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.