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.
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 |
Address | Phone | Organization |
---|---|---|
1900 Coffee Rd, Modesto, CA 95355-2703 | 2095261775 | ROBERT MARRIOTT MEDICAL CORP |
Organization Legal Name | ROBERT MARRIOTT MEDICAL CORP |
Physicians | 35 |
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 |
Street Address |
1900 COFFEE RD |
City | MODESTO |
State | CA |
Zip | 95355-2703 |
Name | Specialty | Organization | Address |
---|---|---|---|
Moe Moe Cheng | Internal Medicine | 1900 Coffee Rd, Modesto, CA 95355-2703 |
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 |
City | MODESTO |
Zip Code | 95355 |
Specialty | GENERAL SURGERY |
City + Specialty | MODESTO + GENERAL SURGERY |
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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.