Active NPI
Elizabeth K Tieman, M.D.
- Diagnostic Radiology Physician
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- K4271
- Practice address
- 11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349 - Phone
- (952) 595-1301
- Fax
- (612) 294-4903
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD.09941R | LA | |
| Diagnostic Radiology Physician | 2085R0202X | K4271 | TX | Primary |
Addresses
Primary practice location
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Mailing address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.09941R | LA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klickitat County Public Hospital District No 1 | Current | Accepting new patients | |
| Angelina Diagnostic Radiology Associates | Diagnostic Radiology | Current | Accepting new patients |
| Okanogan Douglas County Hospital Dist 1 | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Okanogan Douglas County Hospital Dist1 | Current | Accepting new patients | |
| Okanogan Douglas County Hospital Dist 1 | Current | Accepting new patients | |
| Okanogan Douglas County Hospital Dist 1 | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Synergy Radiology Associates PLLC | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Radia Inc P S | Diagnostic Radiology | Past | Accepting new patients |
| Administrators of the Tulane Educational Fund | Past | Accepting new patients | |
| Tulane University Medical Group | Past | Accepting new patients | |
| Smithville Hospital Authority | Past | Accepting new patients | |
| Ascension Seton | Past | Accepting new patients | |
| Radcare of Texas PLLC | Diagnostic Radiology | Past | Accepting new patients |
| South East Alaska Regional Health Consortium | Past | Accepting new patients |
Locations
37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
6836 Bee Caves Rd
Ste 112
Austin, TX 78746
Phone (512) 327-4243
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092
7026 Old Katy Rd
Ste 276
Houston, TX 77024
Phone (713) 358-0562
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092
1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111
2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700
9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCFJBA
Organizations & group practices 18
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.
-
- Diagnostic Radiology Physician
- Lufkin, TX
- NPI 1033175302
-
- Critical Access Hospital
- Goldendale, WA
- NPI 1386689487
-
- Critical Access Hospital
- Brewster, WA
- NPI 1205942257
-
- Critical Access Hospital
- Brewster, WA
- NPI 1356305395
-
- Rural Health Clinic/Center
- Brewster, WA
- NPI 1891347696
-
- Critical Access Hospital
- Brewster, WA
- NPI 1578649794
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Clinic/Center
- Hoonah, AK
- NPI 1285849943
-
- Clinic/Center
- Thorne Bay, AK
- NPI 1376758037
-
- Clinic/Center
- Juneau, AK
- NPI 1427941343
-
- Body Imaging Physician
- Houston, TX
- NPI 1902802986
-
- Specialist
- New Orleans, LA
- NPI 1528014164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1396774873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN STE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445349",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN STE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445349",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIEMAN",
"first_name": "ELIZABETH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "MD.09941R",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "K4271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.