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DR. PETER KING TIERNAN MDMPH LTC USAFR NPI 1902819550


NPI Information

NPI: 1902819550
Provider Name: DR. PETER KING TIERNAN, MD,MPH, LTC USAFR
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7920 CARMEL AVE NE STE C
ALBUQUERQUE, NM
ZIP 87122
Phone: (505) 344-4959
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DR. Peter King Tiernan, MD,MPH, LTC USAFR is a general practice in Albuquerque, NM. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Peter King Tiernan, MD,MPH, LTC USAFR NPI is 1902819550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7920 CARMEL AVE NE STE C
ALBUQUERQUE, NM
ZIP 87122-967
Phone: (505) 344-4959

The NPI 1902819550 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeMD2006-0119NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G08064MEDICARE UPINCALIFORNIA
200G834610MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.