Jeffrey Joseph Tiedeman
Orthopaedic Surgeon Surgery of the Hand
8005 Farnam Dr Ste 305
Omaha
, Nebraska 68114-3426
Jeffrey Joseph Tiedeman
Orthopaedic Surgeon Surgery of the Hand
8005 Farnam Dr Ste 305
Omaha
, Nebraska 68114-3426
(402) 399-8455
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About
Features
Specialties
- Orthopaedic Surgeon
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Jeffrey Joseph Tiedeman
- 8005 Farnam Dr Ste 305
- Omaha, NE
- Zip : 68114-3426
- Fax : (402) 399-8455
- Phone : (402) 390-4111
Second Address
- Jeffrey Joseph Tiedeman
- 8005 Farnam Dr Ste 305
- Omaha, NE
- Zip : 68114-3426
- Fax : (402) 399-8455
- Phone : (402) 390-4111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 17788 | NE |
| Y | 2086S0105X | Surgery of the Hand | 17788 | NE |
| N | 2086S0105X | Surgery of the Hand | MD-28688 | IA |
National Provider Identifier
| NPI | 1407897044 |
|---|---|
| Provider Name | Jeffrey Joseph Tiedeman |
| First Address | Omaha, NE 68114-3426 |
| Second Address | Omaha, NE 68114-3426 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2006 |
| Last Update Date | 03/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 06081 | BCBS OF NEBRASKA (01) | NE |
| 09-00185 | SHARE ADVANTAG/MERCY RD (01) | NE |
| 09-01141 | SHARE ADVANTAGE/LAKESIDE (01) | NE |
| 0903179 | (05) | IA |
| 2463 | MIDLANDS CHOICE (01) | NE |
| 47063010113 | (05) | NE |
| F34392 | (02) | NE |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.