Michael William Tieff, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OS002902L Issued in PA

Practice address

1901 JFK Blvd
Apt 1903
Philadelphia, PA 19103-1502

Phone

(570) 620-6512

NPI assigned

Jun 15, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monroe Radiology Imaging P C

  • Diagnostic Radiology Physician
  • East Stroudsburg, PA
  • NPI 1093893125
  NPD (past)
• Pocono Imaging Partners, LLP

  • Specialist
  • East Stroudsburg, PA
  • NPI 1568541076
  NPD (past)
• Neo Pet II, LLC

  • Mobile Radiology Clinic/Center
  • Brookpark, OH
  • NPI 1861443574
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1093942229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 BRIGHTON PL",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263951",
            "telephone_number": "609-391-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 JFK BLVD",
            "address_2": "APT 1903",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031502",
            "telephone_number": "570-620-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEFF",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS002902L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Ticehurst, PHARM.D.
• Anna Tichtchenko
• Tidal Wave Recovery Center LLC
• Jerica Tidwell
• Taliah S Tidwell, OT
• Seniboye B. Tienabeso, D.M.D.
• Anna-Marie Tierney, M.D.
• Bridget M Tierney, CRNP
• Robert Maurice Tierney
• Ryan Timothy Tierney, PHD

• Diagnostic Radiology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.