SCOTT TIEDEBOHL (NPI# 1992097562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992097562 |
| Entity Type | Individual |
| Full Name | SCOTT TIEDEBOHL |
| Credential | M.D. |
| Practice Address |
25 Monument Rd Ste 190 York PA 17403-5059 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178516454 |
| Practice Fax Number | 7178511665 |
| Mailing Telephone | 7178516454 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2018-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MT198922 | PA | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD464828 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
25 MONUMENT RD STE 190 |
| City | YORK |
| State | PA |
| Zip Code | 17403-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114074424 | Norman Scott Yoder | Physician Assistant | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2007-01-05 |
| 1891260477 | Misty Lynn Ostasewski | Nurse Practitioner | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2018-10-10 |
| 1336664382 | Mariannette Calon-munoz | Nurse Practitioner | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2017-08-11 |
| 1104221415 | Stephanie Ann Sanders | Nurse Practitioner | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2014-10-29 |
| 1730598053 | Sedney Pabon | Nurse Practitioner | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2014-08-12 |
| 1023441391 | Linda T Farjo | Nurse Practitioner | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2013-08-09 |
| 1881971927 | Lori Nicole Brackbill | Physician Assistant | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2011-11-03 |
| 1790003093 | Oluwafunmi Onaopemipo Awonuga | Surgery | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2010-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113286 | Maria Frances Defelice | Social Worker | 1902 Woodland Rd, York, PA 17403 | 2020-01-11 |
| 1710524335 | White Deer Run LLC | Community/Behavioral Health | 257 E Market Street, 2nd Floor, York, PA 17403 | 2019-12-02 |
| 1275016917 | Laura Anne Wanenchak | Speech-Language Pathologist | Genesis Rehab Services, 2760 Pine Grove Road, York, PA 17403 | 2018-09-10 |
| 1306355771 | Emily Good | Occupational Therapist | 34 N Albemarle St, York, PA 17403 | 2017-09-28 |
| 1275054983 | Lindsay Sentz | Nurse Anesthetist, Certified Registered | 110 Pine Grove Commons, York, PA 17403 | 2017-07-03 |
| 1649721713 | Omasiel Herenia Comrie-reinert | Nurse Practitioner | 2690 Southfield Dr Ste A, York, PA 17403 | 2016-10-24 |
| 1144675703 | Audrey C Hess | Dietitian, Registered | 35 Monument Rd Suite 202, Wellspan Maternal Fetal Medicine, York, PA 17403 | 2016-05-02 |
| 1346616505 | Joseph A Tolomeo | Psychologist | 807 S. George St, York, PA 17403 | 2015-08-11 |
| 1750798328 | Charles W. Hash Jr. | Surgery | 1400 E. Market St., York, PA 17403 | 2014-07-16 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Find all providers in zip 17403 | ||||
| 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 |
|---|---|---|---|---|
| 1366962557 | Pinnacle Health Regional Physicians | Surgery | 1600 6th Ave Ste 105, York, PA 17403-2626 | 2017-06-20 |
| 1750798328 | Charles W. Hash Jr. | Surgery | 1400 E. Market St., York, PA 17403 | 2014-07-16 |
| 1396881660 | York Surgical Associates Inc | Surgery | 1030 Plymouth Road, York, PA 17402-3862 | 2007-01-30 |
| 1982619276 | Daniel Scott Henriksen | Surgery | 1601 South Queen Street, York, PA 17403 | 2006-07-29 |
| 1033144076 | Lawrence Peter Fielding | Surgery | 1185 Wyndsong Dr, York, PA 17403-4491 | 2006-07-11 |
| 1396705927 | Wound Specialists, LLC | Surgery | 2300 Pleasant Valley Rd Bldg 3, York, PA 17402-9627 | 2006-03-27 |
| 1730149535 | Shawn Michael Terry | Surgery | 300 Pine Grove Cmns, York, PA 17403-5176 | 2006-03-24 |
| 1467433284 | David A Winand | Surgery | 191 Leaders Heights Rd, York, PA 17402-4714 | 2005-11-09 |
| 1730172990 | Nikhilesh Agarwal | Surgery | 15 Wyntre Brooke Drive, Suite # 1, York, PA 17403-4509 | 2005-08-23 |
| 1760480693 | Jeffrey P. Thurlow | Surgery | 16 Hospital Dr, Suite B, York, ME 03909-1011 | 2005-07-13 |
| Find all providers in YORK | ||||
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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.