Wilhelm Tietke, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

00007067 Issued in AL

Practice address

119 Longwood Dr
Huntsville, AL 35801

Phone

(256) 533-6488

Fax

(256) 533-6495

NPI assigned

Oct 19, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Clinical Research Associates, LLC

  • Research Study Specialist
  • Huntsville, AL
  • NPI 1871265454
  NPD
• Heca, LLC

  • Certified Registered Nurse Anesthetist
  • Huntsville, AL
  • NPI 1336683135
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396734661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2324",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352012324",
            "telephone_number": "256-533-6488",
            "fax_number": "256-533-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 LONGWOOD DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-533-6488",
            "fax_number": "256-533-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIETKE",
        "first_name": "WILHELM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "00007067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darriana Tichenor
• Faith Kristen Tidmore
• Lauren Blair Tidwell, PA-C
• Rachel Sullivan Tieslau, MA, MS, RDN, LD, LPC
• David P Tietjen, MD
• Sara Renee Tigner
• Tanya Ree Tilford
• Glenn W Tillery, MD
• Jessica Tillman
• Josey Tillman, RN

• Gastroenterology Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Gastroenterology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.