Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Tyler Newman, PA-C

Individual provider Physician Assistant · NPI 1205227709

Mr. Tyler Newman, PA-C is a Physician Assistant in Ogden, Utah. Qualified in 2014, 12 years ago. Practices with Rocky Mountain Dermatology Inc, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
12
Licensed in
UT
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

434 E 5350 S Ste D
Ogden, UT 84405
Phone: (801) 827-9100
Fax: (801) 827-9110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1030 Medical Dr Ste A, Brigham City, UT 84302-3276 — (801) 827-9100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6609005-1206 (UT)

Record details

NPI number1205227709
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 5, 2015
Last updated in NPPESAugust 18, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Rocky Mountain Dermatology Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ogden