DR. DAVID P TIETJEN (NPI# 1508838384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508838384 |
| Entity Type | Individual |
| Full Name | DR. DAVID P TIETJEN |
| Credential | MD |
| Practice Address |
2780 Bob Wallace Avenue Suite E Huntsville AL 35805-4104 |
| Mailing Address |
2780 Bob Wallace Avenue Huntsville AL 35805-4104 |
| Practice Telephone | 2565334626 |
| Practice Fax Number | 2565334710 |
| Mailing Telephone | 2565344568 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2012-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
00019822 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
2780 BOB WALLACE AVENUE SUITE E |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35805-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881666063 | Bruce M Diplacido | Internal Medicine | 2780 Bob Wallace Avenue, Suite E, Huntsville, AL 35805-4104 | 2006-02-02 |
| 1831258698 | Michael J Quadrini | Internal Medicine | 2780 Bob Wallace Avenue, Suite E, Huntsville, AL 35805-4104 | 2006-12-07 |
| 1578631784 | John A.h. Clark | Internal Medicine | 2780 Bob Wallace Avenue, Huntsville, AL 35805-4104 | 2006-12-04 |
| 1588636757 | Todd A Broome | Internal Medicine | 2780 Bob Wallace Avenue, Huntsville, AL 35805-4104 | 2006-02-02 |
| 1720050990 | Roger W Coomer | Internal Medicine | 2780 Bob Wallace Avenue, Suite E, Huntsville, AL 35805-4104 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373264 | Kreative Kare In Home Services Inc | Driver | 2905 Westcorp Blvd Suite 213-d, Huntsville, AL 35805 | 2019-12-20 |
| 1871015479 | Kathryn Renee Garcia | Nurse Practitioner | 2806 Artie Street Sw, Unit 3, Huntsville, AL 35805 | 2017-07-14 |
| 1356885362 | Valley Spine and Pain LLC | Physical Medicine & Rehabilitation | 2227 Drake Ave Sw Ste 7b, Huntsville, AL 35805 | 2016-12-09 |
| 1518325612 | Candace Ann Hatcher | Speech-Language Pathologist | 411 Mcallister Drive Sw, Huntsville, AL 35805 | 2016-02-03 |
| 1073799862 | Landmark Chiropractic, Inc. | Chiropractor | 2400 Bob Wallas Avenue, Suite 101, Huntsville, AL 35805 | 2008-01-11 |
| 1245431501 | Sean Patrick Wallis | Chiropractor | 2915 Bob Wallace Ave Sw, Suite B, Huntsville, AL 35805 | 2007-05-31 |
| 1194937862 | Sara Mirza | Family Medicine | 500 Markaview Rd. Nw, Huntsville, AL 35805 | 2007-05-04 |
| 1548308679 | Claudia Elisabetta Agnew | Physician Assistant | 3601 Cci Dr., Huntsville, AL 35805 | 2007-02-01 |
| 1376613745 | North Alabama Pet Scan LLC | Radiologic Technologist | 3601 Cci Drive Nw, Huntsville, AL 35805 | 2006-11-09 |
| 1821028325 | Tracy Glen Bagwell | Chiropractor | 2227 Drake Avenue, Suite 13, Huntsville, AL 35805 | 2006-07-03 |
| Find all providers in zip 35805 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780007435 | Kidney Center of Walker County LLC | Internal Medicine | 102 Medical Park Ln, Suite A, Huntsville, TX 77340-4975 | 2014-01-31 |
| 1700945250 | Dave S Khurana | Internal Medicine | 102 Medical Park Lane, Suite A, Huntsville, TX 77340-4975 | 2006-12-08 |
| 1598737389 | Amish B Shah | Internal Medicine | 333 Whitesport Drive, Suite 205, Huntsville, AL 35801 | 2006-02-06 |
| 1568434769 | Rosanne Lamia Winn | Internal Medicine | 2325 Pansy St Sw, Suite E, Huntsville, AL 35801-3834 | 2006-02-02 |
| 1881666063 | Bruce M Diplacido | Internal Medicine | 2780 Bob Wallace Avenue, Suite E, Huntsville, AL 35805-4104 | 2006-02-02 |
| 1649574286 | Comprehensive Kidney Disease Center, LLC | Internal Medicine | 333 Whitesport Dr Sw, Suite 205, Huntsville, AL 35801-6454 | 2010-12-22 |
| 1447419288 | David G Bains | Internal Medicine | 2780 Bob Wallace Ave Sw, Huntsville, AL 35805-4104 | 2008-06-06 |
| 1205020666 | Christopher M Abeid | Internal Medicine | 810 Franklin St Se, Suite A, Huntsville, AL 35801-4310 | 2007-08-29 |
| 1831258698 | Michael J Quadrini | Internal Medicine | 2780 Bob Wallace Avenue, Suite E, Huntsville, AL 35805-4104 | 2006-12-07 |
| 1497838627 | Huntsville Nephrology Associates | Internal Medicine | 201 Sivley Rd Sw, Huntsville, AL 35801-5134 | 2006-10-23 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35805 |
Please comment or provide details below to improve the information on DR. DAVID P TIETJEN.
| 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.