Jason Alan Tiede is a Medical in Joplin, Missouri. Jason Alan Tiede practices all healthcare services and medical treatments related to Medical. The NPI Number for Jason Alan Tiede is 1629084900. The last update date is 2007-07-08.
Jason Alan Tiede's current location address is 1800 W 30th St, Joplin, Missouri. You can contact this provider via phone number 4177825000 and fax number 4177822945. The mailing address for Jason Alan Tiede is 1800 W 30th St, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Alan Tiede |
|---|---|
| Address | 1800 W 30th St, Joplin, Missouri |
| Phone Number | 4177825000 |
| Fax Number | 4177822945 |
| Sole Proprietor | Y |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1629084900 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1800 W 30th St |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648041520 |
| Phone Number | 4177825000 |
| Fax Number | 4177822945 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 117822 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 426956 | KS | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Jason Alan Tiede by the Centers for Medicare & Medicaid Services?
The Jason Alan Tiede has been assigned the NPI (National Provider Identifier) 1629084900. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jason Alan Tiede?
The Jason Alan Tiede is physically situated at 1800 W 30Th St, in the city of Joplin, state of MO, with the postal code 648041520.
What is Jason Alan Tiede's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason Alan Tiede's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
When did Jason Alan Tiede receive its 1629084900 assignment?
The Jason Alan Tiede was assigned its 1629084900 on 2006-07-31, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jason Alan Tiede most recently updated or revised?
The details related to Jason Alan Tiede, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.