John J Tiedeken
ROBERT MARRIOTT MEDICAL CORP


Address: 1900 Coffee Rd, Modesto, CA 95355-2703
Phone: 2095261775

John J Tiedeken (NPI# 1770703902, PAC ID# 3577699628) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1770703902
PAC ID by PECOS 3577699628
Professional Enrollment ID I20121212000089
Full Name John J Tiedeken
Organization Legal Name ROBERT MARRIOTT MEDICAL CORP
Address 1900 Coffee Rd
Modesto
CA 95355-2703
Phone Number 2095261775
Gender M
Graduation Year 1994
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 2567531494
Number of Group Practice Members 34
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1900 Coffee Rd, Modesto, CA 95355-2703 2095261775 ROBERT MARRIOTT MEDICAL CORP

Organization Information

Organization Legal Name ROBERT MARRIOTT MEDICAL CORP
Physicians 35

Physicians with the same organization

Name Specialty Organization Address
Jaye Alexander Weston Cardiac Surgery Robert Marriott Medical Corp 920 W La Veta Ave, Orange, CA 92868-4302
James D Maciel General Surgery Robert Marriott Medical Corp 5612 Dresden St, Rancho Cucamonga, CA 91701-1920
Julia C Kohlhaas General Surgery Robert Marriott Medical Corp 2416 Nw 18th St River Oaks Health and Rehabilitat, Advantage Wound Care, Fort Worth, TX 76106-6604
Hans J Hulsebos General Surgery Robert Marriott Medical Corp 3750 Garnet St, Torrance, CA 90503-3305
Stephen L Saylor Physician Assistant Robert Marriott Medical Corp 6 Old County Rd, Freeport, ME 04032-6231
John P Griffin General Surgery Robert Marriott Medical Corp 442 Main St, Fremont, NH 03044-3434
Gonzalo E Cruz Schiavone General Surgery Robert Marriott Medical Corp 11926 La Mirada Blvd, La Mirada, CA 90638-1303
Kathy Palatnik General Surgery Robert Marriott Medical Corp 1450 N Fair Oaks Ave, Pasadena, CA 91103-1801
Racheal Nicole Bailey Nurse Practitioner Robert Marriott Medical Corp 7307 E Old Spanish Trail, Jeanerette, LA 70544-6100
Kanye Willis General Surgery Robert Marriott Medical Corp 293 Arrowhead Blvd, Jonesboro, GA 30236-1101

Office Location

Street Address 1900 COFFEE RD
City MODESTO
State CA
Zip 95355-2703

Physicians in the same location

Name Specialty Organization Address
Moe Moe Cheng Internal Medicine 1900 Coffee Rd, Modesto, CA 95355-2703

Physicians in the same zip code

Name Specialty Organization Address
Naihsien D Chen Internal Medicine 1303 Mable Ave, Modesto, CA 95355-1119
Greg A Vigna Physical Medicine and Rehabilitation Greg Vigna Md Clcp 1303 Mable Ave, Modesto, CA 95355-1119
David D Nisley Physician Assistant Greg Vigna Md Clcp 1303 Mable Ave, Modesto, CA 95355-1119
Patrick N Rhoades Physical Medicine and Rehabilitation 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120
Sandhya Ravichandran Anesthesiology Medical Anesthesia Consultants Medical Group Inc 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120
L Edward Elliott Optometry L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr 3601 Coffee Rd, Modesto, CA 95355-1161
Mutahir U Khan Cardiovascular Disease (cardiology) Stanislaus Cardiology Group 3621 Forest Glenn Dr, Modesto, CA 95355-1339
Rajesh Kumar Dubey Cardiovascular Disease (cardiology) Stanislaus Cardiology Group 3621 Forest Glenn Dr, Modesto, CA 95355-1339
Kent Hon-wah Wong Cardiovascular Disease (cardiology) Stanislaus Cardiology Group 3621 Forest Glenn Dr, Modesto, CA 95355-1339
Joydev Acharya Cardiovascular Disease (cardiology) Stanislaus Cardiology Group 3621 Forest Glenn Dr, Modesto, CA 95355-1339
Find all physicians in zip 95355

Competitor

Search similar physicians

City MODESTO
Zip Code 95355
Specialty GENERAL SURGERY
City + Specialty MODESTO + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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