STEVEN TIERNAN (NPI# 1811923725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811923725 |
| Entity Type | Individual |
| Full Name | STEVEN TIERNAN |
| Credential | MD |
| Practice Address |
Dwight David Eisenhower Army Medical Center Fort Gordon GA 30905 |
| Mailing Address |
4201 Ascot Ct Augusta GA 30809 |
| Practice Telephone | 9048051300 |
| Practice Fax Number | 9048051302 |
| Mailing Telephone | 7068550769 |
| Mailing Fax Number | 7068555916 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2011-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 31341 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000458466B | 05 | |
| SC | SOUTH CAROLINA MEDICAID | G31341 | 01 |
| GA | BLUE CROSS | 543066 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437191277 | Steven D Tiernan | Physician Assistant | 22670 Summit Dr, Ste 3, Watertown, NY 13601-7208 | 2006-06-12 |
| Street Address |
DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821632985 | Ian James Mukisa | Student in an Organized Health Care Education/Training Program | Dwight David Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30909-5650 | 2019-11-01 |
| 1972021343 | Nancy Hausterman | Student in an Organized Health Care Education/Training Program | Dwight David Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2017-09-06 |
| 1295165678 | David Davis | Registered Nurse | Dwight David Eisenhower Army Medical Center, Office 4a-28, Fort Gordon, GA 30905 | 2013-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558408674 | Constance Ann Lavieri-reynolds | Emergency Medicine | Buidling 300 East Hospital Road, Fort Gordon, GA 30905 | 2007-01-30 |
| 1770524134 | Jacques R Pye | Emergency Medicine | 300 W Hospital Rd, Eisenhower Army Medical Center, Attn Credentials, Fort Gordon, GA 30905-5650 | 2006-06-09 |
| 1528323342 | Michelle Lynne Bailey | Emergency Medicine | 300 E Hospital Rd, 11c-17, Fort Gordon, GA 30905 | 2012-07-09 |
| 1437445418 | Zachary Sutton | Emergency Medicine | 300 W Hospital Rd Rm 5c-09, Fort Gordon, GA 30905-5741 | 2011-06-28 |
| 1104119403 | Jared Allan Sutton | Emergency Medicine | 300 Hospital Road, Emergency Department, Fort Gordon, GA 30905-5650 | 2011-05-18 |
| 1184852071 | Chris K Jensen | Emergency Medicine | 300 E Hospital Road, Fort Gordon, GA 30905 | 2009-06-30 |
| 1831346139 | Michael John Allen | Emergency Medicine | 300 Hospital Road, Fort Gordon, GA 30905-5650 | 2008-08-19 |
| 1619132826 | Christopher Adam Farabaugh | Emergency Medicine | 300 East Hospital Road, Emergency Department, Fort Gordon, GA 30905-5650 | 2008-07-28 |
| 1760550107 | Walter Dewey Branch II | Emergency Medicine | 300 W Hospital Road, Attn Credentials, Fort Gordon, GA 30905-5650 | 2006-12-02 |
| 1316015027 | David Wilson Coffin | Emergency Medicine | 300 W Hospital Rd, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5741 | 2006-12-01 |
| Find all providers in FORT GORDON | ||||
| City | FORT GORDON |
| Zip Code | 30905 |
Please comment or provide details below to improve the information on STEVEN TIERNAN.
| 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.