John M. Tieman, MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

H3760 Issued in TX

Legal business name

JOHN M. TIEMAN, MD PA

Practice address

1584 Common St
New Braunfels, TX 78130-3113

Phone

(830) 609-4700

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

John M Tieman, M.D.NPI 1114089844

Title

President

Phone

(830) 609-4700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Michael Tieman, M.D.

  • Dermatology Physician
  • New Braunfels, TX
  • NPI 1114089844
  Medicare reassignment Care Compare group NPD Authorized official
• Erika Nicole Kelso, F.N.P.-C.

  • Family Nurse Practitioner
  • Boerne, TX
  • NPI 1396289930
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1235311978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303113",
            "telephone_number": "830-609-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303113",
            "telephone_number": "830-609-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. TIEMAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "TIEMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-609-4700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H3760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill a. Lee Counseling, PLLC
• Bianca Lynn Jimenez, PTA
• John Edward Delhagen IV, MD, PA
• John H. Anderson, MD, P.a.
• John K Hardy, OD PA
• Beverly Ann Johnson, SLP
• Jessica Johnson, LMFT ASSOCIATE
• Kathryn Kroll Johnson
• Lin Z. Johnson, M.D.
• Madison Johnson

• Dermatology Physician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.