DR. DAVID CHRISTOPHER TIETZE (NPI# 1700029196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700029196 |
| Entity Type | Individual |
| Full Name | DR. DAVID CHRISTOPHER TIETZE |
| Credential | M.D. |
| Practice Address |
1801 Inwood Rd Wa4.306 Dallas TX 75390-8883 |
| Practice Telephone | 2146453304 |
| Practice Fax Number | 2146453323 |
| Mailing Telephone | 2146453304 |
| Mailing Fax Number | 2146453323 |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2017-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
N9971 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID OTHER | 327943203 | 01 |
| TX | MEDICAID DALLAS | 327943202 | 01 |
| TX | MEDICARE TARRANT | 310248YNGS | 01 |
| TX | MEDICAID TARRANT | 327943204 | 01 |
| TX | MEDICARE OTHER | 310248YL7A | 01 |
| TX | MEDICARE DALLAS | 310248YL7B | 01 |
| Street Address |
1801 INWOOD RD WA4.306 |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-8883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760456784 | Wp Andrew Lee | Specialist | 1801 Inwood Rd, Dallas, TX 75235-7202 | 2006-02-15 |
| 1861021651 | Vincent Riccelli | Student in an Organized Health Care Education/Training Program | 1801 Inwood Rd, Dallas, TX 75235-7202 | 2020-04-03 |
| 1902369366 | Lauren Bockhorn | Student in an Organized Health Care Education/Training Program | 1801 Inwood Rd, Dallas, TX 75235-7202 | 2019-04-11 |
| 1568923688 | Nathan Heineman | Student in an Organized Health Care Education/Training Program | 1801 Inwood Rd, Dallas, TX 75235-7202 | 2019-03-29 |
| 1912467473 | Lindsey Nicole Urquia | Student in an Organized Health Care Education/Training Program | 1801 Inwood Rd, Dallas, TX 75235-7202 | 2019-03-21 |
| 1891266474 | Christina Mcguire | Nurse Practitioner | 1801 Inwood Rd, Dallas, TX 75235-7202 | 2018-12-07 |
| 1285100487 | Agnes Augustine | Nurse Practitioner | 1801 Inwood Rd, 6th Fl, Ste 6.102, Dallas, TX 75390-9083 | 2018-10-16 |
| 1144752502 | The University of Texas Southwestern Medical Center At Dallas | Durable Medical Equipment & Medical Supplies | 1801 Inwood Rd, Dallas, TX 75390-9087 | 2017-04-03 |
| 1336597392 | Brian Louis May | Student in an Organized Health Care Education/Training Program | 1801 Inwood Rd, Department of Plastic Surgery, Utsw Medical Center, Dallas, TX 75235-7202 | 2016-06-01 |
| 1548618002 | Shreeju Shrestha | Nurse Practitioner | 1801 Inwood Rd, Dallas, TX 75390-9125 | 2016-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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 |
|---|---|---|---|---|
| 1669767737 | Best Service Pain & Rehabilitation Center of Dallas | Internal Medicine | 5510 Abrams Rd, Suite 112, Dallas, TX 75214-2000 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938241 | Vario Health Center, Pllc | Internal Medicine | 9456 State Highway 121 Ste 150, Frisco, TX 75035-6067 | 2020-07-03 |
| 1699246884 | Aaron Fowler | Internal Medicine | 1401 Flanagan Farm Dr, Northlake, TX 76226-1971 | 2018-12-16 |
| 1942217765 | Ernest T Roman | Internal Medicine | 6225 Fm 2920 Rd Ste 205, Spring, TX 77379-3474 | 2006-08-02 |
| 1679516652 | Jennifer Marie Bontreger | Internal Medicine | 2014 Justin Rd, Suite 104, Highland Village, TX 75077-7161 | 2006-06-14 |
| 1417203894 | Adam Malouf Parsons | Internal Medicine | 9239 Vista Way, Benbrook, TX 76126-2451 | 2012-08-03 |
| 1821353400 | Akas Siddiqui | Internal Medicine | 561 N Graham St, Stephenville, TX 76401-3548 | 2012-07-10 |
| 1174891246 | Adam David Weglein Do & Associates Pa | Internal Medicine | 6800 West Loop S, Ste 500, Bellaire, TX 77401-4528 | 2011-12-05 |
| 1205074606 | Progressive Orthopedics & Pain Management, Pa | Internal Medicine | 6225 Fm 2920 Rd Ste 205, Spring, TX 77379-3474 | 2009-01-23 |
| 1215121462 | Adam D Weglein | Internal Medicine | 6800 West Loop S, Ste 500, Bellaire, TX 77401-4528 | 2007-08-30 |
| 1124114301 | Randal R Stavinoha | Internal Medicine | 2727 W Holcombe Blvd, Houston, TX 77025-1669 | 2006-10-05 |
| Find all providers with the same taxonomy | ||||
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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.