WILLIAM M TIERNEY (NPI# 1366490641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366490641 |
| Entity Type | Individual |
| Full Name | WILLIAM M TIERNEY |
| Credential | MD |
| Practice Address |
1002 Wishard Blvd 4th Fl Indianapolis IN 46202-2872 |
| Mailing Address |
410 W 10th St Suite Hs2000 Indianapolis IN 46202-3010 |
| Practice Telephone | 3176922323 |
| Practice Fax Number | 3176563967 |
| Mailing Telephone | 3176307660 |
| Mailing Fax Number | 3176302466 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01027180A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200478510 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831184753 | William Andrew Tierney | Surgery | 417 Libbie Ave, Richmond, VA 23226-2615 | 2005-09-16 |
| 1417303694 | William Starr Tierney | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-05-06 |
| 1255300513 | William M Tierney | Internal Medicine | 825 Ne 10th St, Oupb 2300, Oklahoma City, OK 73104-5417 | 2006-03-17 |
| Street Address |
1002 WISHARD BLVD 4TH FL |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598721953 | Julie A Vannerson | Internal Medicine | 1002 Wishard Blvd, Pcc 4th Floor, Indianapolis, IN 46202-2872 | 2006-04-25 |
| 1669080198 | Amy A Logsdon | Registered Nurse | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2020-07-21 |
| 1992354104 | Susan Marie Bollman | Nurse Practitioner | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2019-09-10 |
| 1245888155 | Alisa Gail Visger | Registered Nurse | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2019-09-04 |
| 1538435524 | Iu Medical Group | Nurse Practitioner | 1002 Wishard Blvd, 4th Floor, Indianapolis, IN 46202-2872 | 2012-03-24 |
| 1629349998 | Danae Leah Young | Nurse Practitioner | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2012-01-19 |
| 1508151549 | Debbie Lois Vargo | Counselor | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2011-06-17 |
| 1952612327 | Sara Elaine Gosnell | Dietitian, Registered | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2010-06-30 |
| 1356652234 | Kristen Ritchey | Dietitian, Registered | 1002 Wishard Blvd, Wishard Primary Care Center-adult Medicine Clinic, Indianapolis, IN 46202-2872 | 2010-06-25 |
| 1215262175 | Mary E. Head | Social Worker | 1002 Wishard Blvd, Wishard Pediatric Primary Care Clinic, Indianapolis, IN 46202-2872 | 2009-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1386280923 | Spencer Wellness Centre LLC | Internal Medicine | 7202 E 71st St, Indianapolis, IN 46256-1904 | 2019-11-19 |
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1699321307 | Medical Consultants of Central Indiana LLC | Internal Medicine | 5252 E 82nd St Ste 300, Indianapolis, IN 46250-5704 | 2019-08-18 |
| 1881167997 | Jara Lynn Southerland | Internal Medicine | 10122 E 10th St Ste 220, Indianapolis, IN 46229-2664 | 2019-01-10 |
| 1306330980 | Brian Paul Wynia | Internal Medicine | 5122 Millwright Ct, Indianapolis, IN 46254-4786 | 2018-06-18 |
| 1053848457 | Hasan Rana | Internal Medicine | 8081 Township Line Rd Ste 202, Indianapolis, IN 46260-2189 | 2017-05-16 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1225581168 | Stepping Stone Institute, LLC | Internal Medicine | 5785 N Delaware St, Indianapolis, IN 46220-2527 | 2016-07-27 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1275985632 | Nour Hamade | Internal Medicine | 702 Rotary Circle, Suite 225, Indianapolis, IN 46202 | 2016-07-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.