Myles E Tieszen (NPI# 1063464683, PAC ID# 3678473949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1063464683 |
| PAC ID by PECOS | 3678473949 |
| Professional Enrollment ID | I20100212000165 |
| Full Name | Myles E Tieszen |
| Organization Legal Name | SANFORD CLINIC |
| Address |
303 E Jefferson St Inwood IA 51240-7766 |
| Phone Number | 7127534401 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0244143824 |
| Number of Group Practice Members | 345 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241371 | SANFORD LUVERNE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 303 E Jefferson St, Inwood, IA 51240-7766 | 7127534401 | SANFORD CLINIC |
| 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 5072834476 | SANFORD HEALTH NETWORK |
| 104 Buncombe Dr, Rock Rapids, IA 51246-1003 | SANFORD CLINIC |
| Organization Legal Name | SANFORD CLINIC |
| Physicians | 392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mackenzie M Mertz | Psychiatry | Sanford Clinic | 2400 W 49th St, Psych Clinic, Sioux Falls, SD 57105-6581 |
| Andrew J Erie | Diagnostic Radiology | Sanford Clinic | 1210 W 18th St, Suite Ll03, Sioux Falls, SD 57104-4654 |
| Evan M Wiersma | Physical Therapy | Sanford Clinic | 104 Buncombe Dr, Rock Rapids, IA 51246-1003 |
| Shauna M Jacobs | Nurse Practitioner | Sanford Clinic | 1309 W 17 St, Radiation Oncology, Sioux Falls, SD 57104-4663 |
| Kylee B Whitney | Nurse Practitioner | Sanford Clinic | 1508 W 22nd St, Suite 101, Sioux Falls, SD 57105-1506 |
| Rachel M Lynde | Nurse Practitioner | Sanford Clinic | 922 22nd Ave S, Brookings, SD 57006-2830 |
| Lori L Thom | Clinical Social Worker | Sanford Clinic | 308 8th N St, Mountain Lake, MN 56159-1568 |
| Kimberly Haines | Nurse Practitioner | Sanford Clinic | 640 E Sioux Ave, 2 Child Spec Clin, Pierre, SD 57501-3300 |
| Cari A Folkens | Nurse Practitioner | Sanford Clinic | 600 W Cedar St, Beresford, SD 57004-1125 |
| Nichole R Krier | Nurse Practitioner | Sanford Clinic | 900 E 54th N St, Suite 100, Sioux Falls, SD 57104-0681 |
| Street Address |
303 E JEFFERSON ST |
| City | INWOOD |
| State | IA |
| Zip | 51240-7766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn J Ranschau | Physician Assistant | Sanford Clinic | 303 E Jefferson St, Inwood, IA 51240-7766 |
| Lesli I Kramer | Physician Assistant | Sanford Clinic | 303 E Jefferson St, Inwood, IA 51240-7766 |
| Brenda R Vis | Physician Assistant | Sanford Clinic | 303 E Jefferson St, Inwood, IA 51240-7766 |
| Rebecca L Roemen | Physician Assistant | Sanford Clinic | 303 E Jefferson St, Inwood, IA 51240-7766 |
| City | INWOOD |
| Zip Code | 51240 |
| Specialty | GENERAL SURGERY |
| City + Specialty | INWOOD + GENERAL SURGERY |
Please comment or provide details below to improve the information on Myles E Tieszen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.