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).
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 |
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 |
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 |
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 |
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 |
Street Address |
11560 S KEDZIE AVE STE 100 |
City | MERRIONETTE PARK |
State | IL |
Zip Code | 60803-4517 |
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 |
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 |
Find all providers in zip 60803 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366890782 | Premier Vascular, LLC | Internal Medicine | 11560 S Kedzie Ave, Merrionette Park, IL 60803-4517 | 2016-05-26 |
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 |
Find all providers with the same taxonomy |
City | MERRIONETTE PARK |
Zip Code | 60803 |
Please comment or provide details below to improve the information on DR. SEAN P TIERNEY.
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.