MARK TIEMAN, MD, PC (NPI# 1821375940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821375940 |
| Entity Type | Organization |
| Organization Name | MARK TIEMAN, MD, PC |
| Practice Address |
356 Veterans Memorial Hwy Commack NY 11725-4343 |
| Mailing Address |
34 Copperdale Ln Huntington NY 11743-2523 |
| Practice Telephone | 6318580400 |
| Practice Fax Number | 6315432785 |
| Mailing Telephone | 6314249844 |
| Mailing Fax Number | 6315432785 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | DR. MARK DARYL TIEMAN (PRESIDENT) |
| Authorized Official Telephone | 6314249844 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
179172 | NY | Ambulatory Health Care Facilities |
| Street Address |
356 VETERANS MEMORIAL HWY |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154494003 | Mark Daryl Tieman | Internal Medicine | 356 Veterans Memorial Hwy, Commack, NY 11725-4332 | 2006-11-16 |
| 1033592589 | Cindy Demetriou | Nurse Practitioner | 356 Veterans Memorial Hwy, Suite 5, Commack, NY 11725-4343 | 2015-07-01 |
| 1942505847 | Denise Feldman | Social Worker | 356 Veterans Memorial Hwy, Commack, NY 11725-4343 | 2011-01-24 |
| 1528249950 | Rachna Sharma Sondhi | Psychiatry & Neurology | 356 Veterans Memorial Hwy, Suite # 6, Commack, NY 11725-4343 | 2007-11-14 |
| 1508059056 | Marsha Alexander | Psychiatry & Neurology | 356 Veterans Memorial Hwy, Suite Number 6, Commack, NY 11725-4343 | 2007-08-18 |
| 1356551972 | Barbara Anne Herd | Psychologist | 356 Veterans Memorial Hwy, Commack, NY 11725-4332 | 2007-05-23 |
| 1275650103 | Linda Rachel Jonas | Psychologist | 356 Veterans Memorial Hwy, Suite 6, Commack, NY 11725-4332 | 2007-03-24 |
| 1134243090 | Karen L Defalco | Psychologist | 356 Veterans Memorial Hwy, Commack, NY 11725-4332 | 2007-03-18 |
| 1780737700 | Barbara Edell Fisher | Psychologist | 356 Veterans Memorial Hwy, Commack, NY 11725-4332 | 2007-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174719496 | Carefirst Family Medical PC | Clinic/Center | 353 Veterans Memorial Hwy, Commack, NY 11725-4200 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113346 | Community Pediatrics of Wny, Pllc | Clinic/Center | 741 Davison Rd, Lockport, NY 14094-5214 | 2020-10-27 |
| 1033718085 | Palliative Care Consulting Services | Clinic/Center | 1188 Fox St, Bronx, NY 10459-1810 | 2020-10-21 |
| 1821601352 | Xian Medical Care PC | Clinic/Center | 2010 Bay Ridge Pkwy, Brooklyn, NY 11204-5925 | 2020-08-25 |
| 1952920795 | Divine Medical LLC | Clinic/Center | 13163 233rd St # 1, Rosedale, NY 11422-1305 | 2020-04-12 |
| 1972159333 | Ap Medical Care PC | Clinic/Center | 3506 73rd St Ste 2, Jackson Heights, NY 11372-4104 | 2019-08-12 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
| 1417509357 | Henderson Health Services Family Nurse Practitioner Pllc | Clinic/Center | 4 Clarion Dr, White Plains, NY 10603-2868 | 2019-07-11 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
| 1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARK TIEMAN, MD, PC.
| 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.