Red Tyde
NPI 1679156004ActiveOrganization· Physician Assistant, Medical· Logan, UT
Physician Assistant, Medical in Logan, Utah, registered in NPPES in May 2021. The authorized official on file is Tiffany M. Redmond, PA-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679156004 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2021 |
| Last updated in NPPES | Oct 15, 2026 |
| Certified by provider | Oct 15, 2026 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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