MYLES ELDON TIESZEN (NPI# 1063464683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063464683 |
| Entity Type | Individual |
| Full Name | MYLES ELDON TIESZEN |
| Credential | MD |
| Practice Address |
1601 Sioux Valley Dr Luverne MN 56156 |
| Mailing Address |
1601 Sioux Valley Dr Luverne MN 56156-4500 |
| Practice Telephone | 5072834476 |
| Practice Fax Number | 5072839086 |
| Mailing Telephone | 5072834476 |
| Mailing Fax Number | 5072839086 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 64861 | MN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 38654 | IA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 3813 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 46045455601 | 05 | |
| SD | 7300264 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Mercy Dr, Suite 220, Council Bluffs, IA 515033128 | 7123882660 | 7123882665 |
| Street Address |
1601 SIOUX VALLEY DR |
| City | LUVERNE |
| State | MN |
| Zip Code | 56156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676189 | Judy Sternberg Chesley | Family Medicine | 1601 Sioux Valley Dr, Luverne, MN 56156 | 2005-08-22 |
| 1659849784 | Rachelle Dawn Vandegriend | Nurse Practitioner | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2018-11-07 |
| 1548753684 | Katy Marie Zogg | Nurse Practitioner | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2018-06-13 |
| 1992148985 | Nicole Joanne Woodley | Obstetrics & Gynecology | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2013-04-09 |
| 1033495379 | Sanford Health Network | Nurse Practitioner | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2011-11-01 |
| 1235360173 | Jonathan Pap | Nurse Practitioner | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2009-07-27 |
| 1376793778 | Emilly Ann Eben | Pharmacist | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2008-09-23 |
| 1659587673 | Margaret Joan Kuiper | Dietitian, Registered | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2007-05-15 |
| 1174554760 | Sanford Health Network | Radiology | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2006-07-05 |
| 1386616704 | Jennifer L Thone | Family Medicine | 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 2006-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487119889 | Healing Path Counseling & Wellness, P.l.l.c. | Counselor | 215 N. Cedar St., Luverne, MN 56156 | 2019-02-10 |
| 1790971604 | Lori J. Mulder | Occupational Therapist | 1600 N Kniss, Luverne, MN 56156 | 2007-09-25 |
| 1780743088 | David L Knips | Nurse Anesthetist, Certified Registered | 1600 N. Kniss Ave., Luverne, MN 56156 | 2006-12-06 |
| 1497703045 | Sanford Health Network | General Acute Care Hospital | 1600 N Kniss Ave, Luverne, MN 56156 | 2006-05-05 |
| 1518959915 | Timothy P Ceynowa | Family Medicine | 1601 Sioux Valley Drive, Luverne, MN 56156 | 2005-08-22 |
| 1487167763 | Ashley Jean Wilcox | Social Worker | 117 S Spring St, Luverne, MN 56156 | 2017-11-09 |
| 1205279320 | Erica Sue Hough | Counselor | 118 W Main St, Luverne, MN 56156 | 2013-04-08 |
| 1225397763 | Codie Lee Zeutenhorst | Chiropractor | 109 S Freeman Ave, Luverne, MN 56156 | 2012-05-03 |
| 1053507350 | Kathleen Marie Loosbrock | Physical Therapy Assistant | 1600 N Kniss Ave, Luverne, MN 56156 | 2007-09-20 |
| 1588856470 | Patricia Ann Halse | Speech-Language Pathologist | 1600 N Kniss Ave, Luverne, MN 56156 | 2007-08-14 |
| Find all providers in zip 56156 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003868779 | Handes of A Woman | Surgery | 58 Roy Beall Dr, Luverne, AL 36049-6800 | 2006-05-17 |
| 1518423284 | Jackson General Surgery | Surgery | 101 Hospital Dr, Luverne, AL 36049-7344 | 2019-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725197 | Advanced Surgical Associates of Northern Minnesota LLC | Surgery | 4325 9th Ave W, Hibbing, MN 55746-3032 | 2020-09-23 |
| 1518512680 | Loay Aljaberi | Surgery | Mayo Clinic 200 1st Sw, Rochester, MN 55905-0001 | 2019-08-06 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
| 1669836268 | Erinn Afflick | Surgery | 200 1st South St, Rochester, MN 55905-0001 | 2016-04-09 |
| 1063899250 | Andrew Bergersen | Surgery | 3366 Oakdale Ave N Ste 303, Robbinsdale, MN 55422-2977 | 2015-04-27 |
| 1619362001 | Sean Luke Peterson | Surgery | 9 W Franklin Ave Apt 306, Minneapolis, MN 55404-2594 | 2015-04-02 |
| 1699173716 | Caliann Tsuitsin Lum | Surgery | 110 Bank St Se Apt 904, Minneapolis, MN 55414-3903 | 2014-12-06 |
| 1972920338 | Emily Rapstine Bond | Surgery | 420 Delaware St Se # 207, Minneapolis, MN 55455 | 2014-03-24 |
| 1518200914 | Jessica Shaheen | Surgery | 303 E Nicollet Blvd Ste 300, Burnsville, MN 55337 | 2013-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.