PAMELA HODGES TIETZE MD NPI 1982678835

NPI Information

NPI: 1982678835
Provider Name: PAMELA HODGES TIETZE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
900 NE 10TH ST
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-4311
Get Directions

Pamela Hodges Tietze, MD is a family medicine in Oklahoma City, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Pamela Hodges Tietze, MD NPI is 1982678835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

900 NE 10TH ST
OKLAHOMA CITY, OK
ZIP 73104-420
Phone: (405) 271-4311
Fax: (405) 271-2797

The enumeration date for this NPI number is 2/16/2006 and was last updated on 12/12/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		18715	OKLAHOMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100148940B	MEDICAID	OKLAHOMA
2	248628503	MEDICARE PIN	OKLAHOMA
3	800522535	OTHER	OKLAHOMA	MEDICARE GROUP PIN
4	C72861	MEDICARE UPIN

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

NPI Synchronization or Removal

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