PATRICIA ANN TIETJEN (NPI# 1831258656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831258656 |
| Entity Type | Individual |
| Full Name | PATRICIA ANN TIETJEN |
| Credential | MD |
| Practice Address |
24 Hospital Ave Danbury CT 06810-6099 |
| Practice Telephone | 2037397985 |
| Practice Fax Number | 2038302047 |
| Mailing Telephone | 2037397985 |
| Mailing Fax Number | 2038302047 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2008-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
046232 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01120474 | 05 | |
| NY | 01120474002 | 05 | |
| NY | MEDICARE | 5F9610 | 01 |
| Street Address |
24 HOSPITAL AVE |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-6099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526933 | Timothy Hendrie | Nurse Anesthetist, Certified Registered | 24 Hospital Ave, Danbury, CT 06810-6099 | 2005-05-24 |
| 1144837493 | Xavian Terrence Shaw Jr. | Registered Nurse | 24 Hospital Ave, Danbury, CT 06810-6077 | 2020-09-29 |
| 1275141624 | Megan Mirgorodsky | Dietitian, Registered | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-07-21 |
| 1053939348 | Kristen Liederbach | Nurse Anesthetist, Certified Registered | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-07-13 |
| 1558988170 | Robynne M. Pivec Quinn | Counselor | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-06-30 |
| 1891318200 | Benjamin Striano | Speech-Language Pathologist | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-05-20 |
| 1407478423 | Danielle Jenna Kupperman | Genetic Counselor, MS | 24 Hospital Ave, Danbury, CT 06810-6077 | 2020-05-13 |
| 1588286801 | Manush Ohanyan | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave, Danbury Hospital, Danbury, CT 06810-6099 | 2020-05-08 |
| 1447871033 | Maun Ranjan Baral | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-05-05 |
| 1124647359 | Kamana Acharya | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1518270826 | Sakshi Sethi | Internal Medicine | 33 Germantown Rd, Danbury, CT 06810 | 2010-07-16 |
| 1427220771 | Danbury Office of Physician Services | Internal Medicine | 24 Hospital Ave, Danbury, CT 06810-6099 | 2008-03-27 |
| 1790871150 | Matthew Miller | Internal Medicine | 24 Hospital Ave, Danbury, CT 06810-6099 | 2006-10-05 |
| 1225040892 | Jonathan Gordon, Md LLC | Internal Medicine | 67 Sand Pit Rd, Suite 200, Danbury, CT 06810-4032 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356761290 | Issahar Ben-dov | Internal Medicine | 300 Cedar St, Pulmonary &critical Care Section, Tac-441 South, New Haven, CT 06520-8057 | 2014-04-18 |
| 1669710216 | Arthur Christian Degraff Jr. | Internal Medicine | 160 Hunter Dr, West Hartford, CT 06107-1017 | 2013-01-16 |
| 1215287214 | Craig Stephen Conoscenti | Internal Medicine | 199 Gregory Blvd, Unit I5, Norwalk, CT 06855-2640 | 2012-09-17 |
| 1396024980 | Johan Van Jaarsveld | Internal Medicine | 81 Deer Run Rd, Woodbridge, CT 06525-1907 | 2011-08-12 |
| 1215143953 | Kaiser Toosy | Internal Medicine | 136 Sherman Ave Ste 302, New Haven, CT 06511-5210 | 2007-05-16 |
| 1477675098 | A. Joel Papowitz | Internal Medicine | 179 Pine Creek Ave, Fairfield, CT 06824-6341 | 2007-04-04 |
| 1639293186 | Thinesh Dahanayake | Internal Medicine | 330 Washington St Ste 430, Norwich, CT 06360-2700 | 2007-03-19 |
| 1104910215 | Christopher Edward Manfredi | Internal Medicine | 30 Stevens Street, Suite C, Norwalk, CT 06850 | 2006-10-03 |
| 1598869596 | Kanagaratnam Jegathesan Md PC | Internal Medicine | 2271 East Main St, Waterbury, CT 06705 | 2006-09-11 |
| 1497859409 | Kanagaratnam Jegathesan | Internal Medicine | 2271 East Main Street, Waterbury, CT 06705 | 2006-09-11 |
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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.