Active NPI
Jeremy Tiu MD, PLLC
- Otolaryngology Physician
- Wheeling, WV
National Provider Identifier
1154542066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- JEREMY TIU MD, PLLC
- Practice address
- 176 Anthoni Ave
Wheeling, WV 26003-6459 - Phone
- (304) 233-2455
- Fax
- (304) 233-6073
- NPI assigned
- May 1, 2007
- Last updated
- Nov 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy J Tiu, MD
- Title
- Owner
- Phone
- (304) 233-2455
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | NU | Primary |
Addresses
Primary practice location
176 Anthoni Ave
Wheeling, WV 26003-6459
Mailing address
P O Box 6829
Wheeling, WV 26003
Phone (304) 233-2455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810009102 | Medicaid | WV | |
| 2751311 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
100 Hospital Dr
Ste 107
Barnesville, OH 43713
Phone (740) 425-3044
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Wheeling, WV
- NPI 1649647975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762732800000",
"number": "1154542066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 6829",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-233-2455",
"fax_number": "304-233-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 ANTHONI AVE",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036459",
"telephone_number": "304-233-2455",
"fax_number": "304-233-6073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEREMY TIU MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A",
"authorized_official_last_name": "TIU",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-233-2455",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810009102",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2751311",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.