James Jay Tiesinga, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

5760 Issued in AK

Practice address

4315 Diplomacy Dr
Attn: Sherry Reedy
Anchorage, AK 99508-5926

Phone

(907) 729-3971

Fax

(907) 729-1542

NPI assigned

Jul 7, 2006

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PathologyAlso: Hematology

Education

Icahn School of Medicine at Mount Sinai, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alaska Native Tribal Health ConsortiumGroup PAC ID 6709780265, 605 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.93 of 100Reported as group

Quality

70.1

Promoting interoperability

100

Improvement activities

40

Cost

83.01

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jjtiesinga@direct.anthc.org
• Direct secure messaging: james.tiesinga.1@15989.direct.athenahealth.com

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.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment Care Compare group NPD
• Southeast Alaska Regional Health Consortium

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment NPD
• Southeast Alaska Regional Health Consortium

  • Clinic/Center
  • Juneau, AK
  • NPI 1427941343
  NPD
• Southeast Alaska Regional Health Consortium

  • Federally Qualified Health Center (FQHC)
  • Coffman Cove, AK
  • NPI 1932645512
  NPD
• DFW 501a Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • Plano, TX
  • NPI 1881665412
  NPD (past)
• New York University Medical Center Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Boynton Beach, FL
  • NPI 1811987456
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366475105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 DIPLOMACY DR",
            "address_2": "ATTN: SHERRY REEDY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085926",
            "telephone_number": "907-729-3971",
            "fax_number": "907-729-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 DIPLOMACY DR",
            "address_2": "ATTN: SHERRY REEDY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085926",
            "telephone_number": "907-729-3971",
            "fax_number": "907-729-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIESINGA",
        "first_name": "JAMES",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AK",
            "license": "5760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lee Tichenor, LPC
• Quana Lee Ticket, PA
• Tidal Bore Resource Center
• Betha Jung Tien, M.D.
• Steve John Tierney, MD
• Tieszen Chiropractic LLC
• Neil Tieszen, D.C.
• Richard Dean Tieszen, D.C.
• Daniel Martin Tieva, M.D.
• Martin Herbert Tieva, MD

• Anatomic Pathology & Clinical Pathology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Anatomic Pathology & Clinical Pathology Physician in Alaska

• 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.
• 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.