DR. SEAN P TIERNEY


Address: 11560 S Kedzie Ave Ste 100, Merrionette Park, IL 60803-4517
Phone: 7088241114

DR. SEAN P TIERNEY (NPI# 1457315624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457315624
Entity Type Individual
Full Name DR. SEAN P TIERNEY
Credential M.D.
Practice Address 11560 S Kedzie Ave Ste 100
Merrionette Park
IL 60803-4517
Mailing Address 13011 S 104th Ave Ste 100
Palos Park
IL 60464-1508
Practice Telephone 7088241114
Practice Fax Number 7088249341
Mailing Telephone 7084783600
Mailing Fax Number 7084783552
Enumeration Date 2006-04-14
Last Update Date 2020-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
036096266 IL Allopathic & Osteopathic Physicians
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
036096266 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL RAILROAD MEDICARE COOK P00110155 01
IL BLUE CROSS BLUE SHIELD 01621208 01
IL MEDICARE GROUP 236551 01
IL RAILROAD MEDICARE WILL P00227172 01
IL MEDICARE GROUP 416810 01
IL RAILROAD MEDICARE GROUP PTAN NUMBER CD8033 01
IL MEDICARE GROUP 236550 01
IL RAILROAD MEDICARE GROUP PTAN NUMBER CN2703 01
IL 036096266 05
IL HEART CARE CENTERS OF ILLINOIS GROUP NPI 1508810086 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
13011 S 104th Ave Ste 100, Palos Park, IL 604641508 7082743278 7082743299
19001 Old Lagrange Rd, Mokena, IL 604488012 7084783600 7084783552
3231 Euclid Ave Ste 201, Berwyn, IL 604023472 7087832055 7087832181
10260 191st St Ste 102, Mokena, IL 604488802 7084784224 7084784033

Other Providers SEAN TIERNEY

NPI Name Taxonomy Address Enumeration
1578593232 Sean M Tierney Emergency Medicine 6451 N Federal Hwy Ste 800, Ft Lauderdale, FL 33308-1409 2006-07-05
1760713101 Sean Patrick Tierney Massage Therapist 2629 W 23rd St, E, Panama City, FL 32405-2311 2010-01-25

Office Location

Street Address 11560 S KEDZIE AVE STE 100
City MERRIONETTE PARK
State IL
Zip Code 60803-4517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447450788 James Paul Sur Internal Medicine 11560 S Kedzie Ave Ste 100, Merrionette Park, IL 60803-4517 2007-07-24
1033173125 Kurt W Erickson Internal Medicine 11560 S Kedzie Ave Ste 100, Merrionette Park, IL 60803-4517 2006-04-14
1689638702 Hang-jin H Shin Internal Medicine 11560 S Kedzie Ave Ste 100, Merrionette Park, IL 60803-4517 2006-04-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699173013 American Medical Lab, Ltd Clinical Medical Laboratory 5130 W 125th Pl, American Medical Lab, Alsip, IL 60803 2014-12-17
1225387574 A Touch of Class Dentistry II Dentist 12033 S. Pulaski Road, Alsip, IL 60803 2012-08-31
1841431657 George P. Danos Inc Dentist 5101 W 111th St, Alsip, IL 60803 2009-03-09
1194898114 Vital Rehabilitation & Physical Therapy Inc Clinic/Center 11600 S Kedzie, Merrionette Park, IL 60803 2006-11-16
1841203650 Alsip Dental Arts PC Dentist 11107 South Lawler, Alsip, IL 60803 2006-08-14
1477500932 American Drug Stores LLC Durable Medical Equipment & Medical Supplies 12001 S Pulaski Rd, Alsip, IL 60803 2006-05-30
1013961044 Arbor Centers for Eye Care Technician/Technologist 11600 South Kedzie Ave, Merrionette Park, IL 60803 2006-05-22
1467064360 Yash Desai Pharmacist 12290 S Pulaski Rd, Alsip, IL 60803 2020-08-20
1609293539 American Drug Stores LLC Durable Medical Equipment & Medical Supplies 3243 W 115th St, Merrionette Park, IL 60803 2014-03-28
1114357092 Abdul Hussein Darki Pediatrics 11808 S Pulaski Rd, Alsip, IL 60803 2013-11-14
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366890782 Premier Vascular, LLC Internal Medicine 11560 S Kedzie Ave, Merrionette Park, IL 60803-4517 2016-05-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508363185 Deaconess Specialty Physicians, Inc Internal Medicine 1340 Il Highway 1 Ste A, Carmi, IL 62821 2018-04-10
1568637833 Krishnaswami Sriram Internal Medicine 611 Hunter Ln, Lake Forest, IL 60045-4905 2008-04-28
1083712467 Ohio Valley Heartcare Inc Internal Medicine 1405 Locust St, Eldorado, IL 62930-1629 2006-09-20
1912917030 Martin C Burke Internal Medicine 1006 S Michigan Ave, Suite 501, Chicago, IL 60605-2254 2006-08-09
1316998578 West Suburban Cardiologists, Ltd. Internal Medicine 3118 N Ashland Ave, Chicago, IL 60657-3014 2006-05-13
1952359242 Samer Dibs Internal Medicine 2222 W Division St Ste 340, Chicago, IL 60622-2995 2006-05-05
1164483145 Mehran Jabbarzadeh Internal Medicine 900 Technology Way Ste 220, Libertyville, IL 60048-5364 2006-03-30
1497754634 Rebecca Sue Riepshoff Internal Medicine Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 2005-07-19
1093712481 Erica D Engelstein Internal Medicine 7447 W Talcott Ave Ste 222, Chicago, IL 60631-3713 2005-06-30
1861007239 Marian Heart Rhythm Consultants Sc Internal Medicine 2222 W Division St Ste 205, Chicago, IL 60622-3094 2020-09-13
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Competitor

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City MERRIONETTE PARK
Zip Code 60803

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Dataset Information

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.

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