Individual provider Active NPI

Elizabeth K Tieman, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1396774873
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K4271 Issued in TX
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

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.09941RLAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Klickitat County Public Hospital District No 1 Current Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Nov 26, 2017 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Jan 29, 2021 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Jan 29, 2021 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Nov 26, 2017 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Synergy Radiology Associates PLLC CurrentSince Sep 16, 2020 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

  • FHIR API: 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.

View all 18

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

Verify at the official NPI Registry.