John S Tiedeman (NPI# 1104047307, PAC ID# 8729151113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1104047307 |
| PAC ID by PECOS | 8729151113 |
| Professional Enrollment ID | I20080717000624 |
| Full Name | John S Tiedeman |
| Organization Legal Name | ALBEMARLE ANESTHESIA PLC |
| Address |
500 Martha Jefferson Dr Charlottesville VA 22911-4668 |
| Phone Number | 5403453556 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 9133012560 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490077 | SENTARA MARTHA JEFFERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 5403453556 | ALBEMARLE ANESTHESIA PLC |
| Organization Legal Name | ALBEMARLE ANESTHESIA PLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher M Sharrow | Anesthesiology | Albemarle Anesthesia Plc | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Laurel A Hortvet | Anesthesiology | Albemarle Anesthesia Plc | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Martin S Silverman | Anesthesiology | Albemarle Anesthesia Plc | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Susan M Wilcox | Anesthesiology | Albemarle Anesthesia Plc | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Albert E Chaker | Anesthesiology | Albemarle Anesthesia Plc | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Andrew W Murphy | Anesthesiology | Albemarle Anesthesia Plc | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Angela B Amin | Anesthesiology | Albemarle Anesthesia Plc | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Jennifer Mytar-li | Anesthesiology | Albemarle Anesthesia Plc | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Lauren B Dobbs | Anesthesiology | Albemarle Anesthesia Plc | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Cheryl L Gaughen | Anesthesiology | Albemarle Anesthesia Plc | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Street Address |
500 MARTHA JEFFERSON DR |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip | 22911-4668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aric Jordan Moran | Hospitalist | Martha Jefferson Medical Group LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Robert E Adams | Neurology | Martha Jefferson Medical Group LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Alison B Heavenridge | Nurse Practitioner | Martha Jefferson Medical Group LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Jacob N Young | Neurosurgery | Martha Jefferson Medical Group LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Evan Hollister Pryse | Nurse Practitioner | Mep Health LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Hasan Bilal Ahmad | Hospitalist | Martha Jefferson Medical Group LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Normand Roland Dube | Nurse Practitioner | Martha Jefferson Medical Group LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Kevin Lawrence | Pulmonary Disease | Martha Jefferson Medical Group LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Andrew M Romano | Hematology/oncology | Martha Jefferson Medical Group LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Sylvia S Hendrix | Radiation Oncology | Central Virginia Radiation Oncologists P C | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha E Mccoy | Clinical Social Worker | 315 Winding River Lane, Suite 201, Charlottesville, VA 22911 | |
| Michelle Heppner | Chiropractic | 3450 Seminole Trl, Suite 105, Charlottesville, VA 22911-2210 | |
| Terry P Muller | Psychologist, Clinical | 154 Hansen Rd, Suite 202 D, Charlottesville, VA 22911-3552 | |
| Richard B Messinger | Interventional Pain Management | Charlottesville Interventional Pain Management LLC | 2050 Abbey Rd, Suite A, Charlottesville, VA 22911-3553 |
| Robert J Baglio | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 2050 Abbey Rd, Suite C, Charlottesville, VA 22911-3553 |
| Rasheed A Siddiqui | Interventional Pain Management | Charlottesville Interventional Pain Management LLC | 2050 Abbey Rd, Suite A, Charlottesville, VA 22911-3553 |
| Samuel H Schustek | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 2050 Abbey Rd, Suite C, Charlottesville, VA 22911-3553 |
| Stephen J Blanchard | Certified Registered Nurse Anesthetist | Dreamworks Anesthesia, Inc | 2050 Abbey Rd, Charlottesville, VA 22911-3553 |
| Christina Marie Bove | Cardiovascular Disease (cardiology) | 300 Hickman Rd, Suite 202, Charlottesville, VA 22911-3554 | |
| Bonnie L Lungren | Clinical Social Worker | Bonnie Lungren LLC | 315 Winding River Ln, Charlottesville, VA 22911-3568 |
| Find all physicians in zip 22911 | |||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | CHARLOTTESVILLE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on John S Tiedeman.
| 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.