Jerome Werner Tiefert, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M1382 Issued in TX

Practice address

2624 Santo Domingo Dr
League City, TX 77573-3056

Phone

(281) 337-6935

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in KY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Southeast Emergency Physician Associates, P.a.

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1235155102
  NPD (past)
• Greene Emergency Medical Services

  • Emergency Medical Services (Emergency Medicine) Physician
  • Xenia, OH
  • NPI 1104814276
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295846632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 SANTO DOMINGO DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733056",
            "telephone_number": "281-337-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 SANTO DOMINGO DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733056",
            "telephone_number": "281-337-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEFERT",
        "first_name": "JEROME",
        "middle_name": "WERNER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M1382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackinzee Thompson
• Michelle Ekua Thompson, MA, BCBA
• Jennifer Theresa Thorpe-McCovery, CNM, WHCNP
• Thrive Family Counseling-League City
• Pamela Dawn Thuem, LMSW
• J Derek Tieken, D.D.S.
• Veronica Camille Tinto, SLP-A
• Titan Men'S Health
• TMH Physician Associates PLLC
• TMH Physician Associates PLLC

• Emergency Medicine Physician in League City, TX
• Providers in League City, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.