Peter King Tiernan Jr., MD,MPH, LTC USAFR

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD2006-0119 Issued in NM

Practice address

7920 Carmel Ave NE Ste C
Albuquerque, NM 87122-2967

Phone

(505) 344-4959

NPI assigned

Aug 14, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902819550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 CARMEL AVE NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222967",
            "telephone_number": "505-344-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 CARMEL AVE NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222967",
            "telephone_number": "505-344-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNAN",
        "first_name": "PETER",
        "middle_name": "KING",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD,MPH, LTC USAFR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "MD2006-0119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline A Tice
• Melanie M Tidman, M.A., OTR/L
• Eric Lee Tidwell
• Keeley Morgan Tidwell
• Mark Dustin Tidwell
• Patricia Tieszen, SLP
• Cindy Tietz, L.M.T
• Elizabeth Tigges, PHD CPNP
• Veronica Tighe
• Tanya Tijerina, LCSW

• General Practice Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Physician in New Mexico

• 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; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.