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JEFFREY JOSEPH TIEDEMAN M.D. NPI 1407897044


NPI Information

NPI: 1407897044
Provider Name: JEFFREY JOSEPH TIEDEMAN, M.D.
Classification: Surgery - 2086S0105X
Entity Type: Individual

Specialization: Surgery of the Hand

Organization: MD WEST ONE, PC

PECOS Registration: Yes

Address:
8005 FARNAM DR STE 305
OMAHA, NE
ZIP 68114
Phone: (402) 390-4111
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Jeffrey Joseph Tiedeman, M.D. is a surgery of the hand surgery in Omaha, NE with 38 years of experience. The provider is a surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Jeffrey Joseph Tiedeman, M.D. NPI is 1407897044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

8005 FARNAM DR STE 305
OMAHA, NE
ZIP 68114-426
Phone: (402) 390-4111
Fax: (402) 399-8455

The NPI 1407897044 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)

The enumeration date for this NPI number is 6/8/2006 and was last updated on 9/3/2021.


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
1207X00000XOrthopaedic Surgery17788NEBRASKANo
22086S0105XSurgerySurgery of the HandMD-28688IOWANo
32086S0105XSurgerySurgery of the Hand17788NEBRASKAYes

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
109-00185OTHERNEBRASKASHARE ADVANTAG/MERCY RD
20903179MEDICAIDIOWA
32463OTHERNEBRASKAMIDLANDS CHOICE
447063010113MEDICAIDNEBRASKA
509-01141OTHERNEBRASKASHARE ADVANTAGE/LAKESIDE
606081OTHERNEBRASKABCBS OF NEBRASKA

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: 11/14/2023

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.