Kirk J Tiemann,MD,PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M9059 Issued in TX

Legal business name

KIRK J TIEMANN,MD,PA

Practice address

8214 Milwaukee Ave
Lubbock, TX 79424-0923

Phone

(806) 795-6421

Fax

(806) 795-1528

NPI assigned

Apr 5, 2012

Organization subpart

No

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

Authorized official

Name

Kirk J Tiemann, MD,PANPI 1427249564

Title

Owner

Phone

(806) 795-6421

Specialties & licenses 1

Addresses

Other names 1

• Regal Park Medical Center Doing business as

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

Locations

Practitioners 2

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

• Kirk Jon Tiemann, M.D.

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1427249564
  Medicare reassignment NPD Authorized official
• Madhu Polimeru

  • Physical Therapist
  • Lubbock, TX
  • NPI 1174954713
  Medicare reassignment NPD

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1235495102",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "8214 MILWAUKEE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-795-6421",
            "fax_number": "806-795-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8214 MILWAUKEE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240923",
            "telephone_number": "806-795-6421",
            "fax_number": "806-795-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK J TIEMANN,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "TIEMANN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-795-6421",
        "authorized_official_credential": "MD,PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regal Park Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janelle Kinman
• Cristi Jean Kinney, MSN,APRN,PMHNP-BC
• Kaylee Ann Kinney
• Amy Cherese Kinser, MS-CCC-SLP
• Sarah Kiriacon, SLP
• Declan Kirk
• James Frederick Kirk, M.D.
• Kirk, Nicholson & Reynolds, L.L.P.
• Ronnie Allen Kirk, LAT
• Brandy Faye Kirven, CALT

• Family Medicine Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.