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Jeremy R Tietjens

Internist Interventional Cardiology

3023 N Ballas Rd Ste 200d
Saint Louis , Missouri 63131-2328

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Jeremy R Tietjens

Internist Interventional Cardiology

3023 N Ballas Rd Ste 200d
Saint Louis , Missouri 63131-2328

(314) 996-7272

Write a Review Save Call

Jeremy R Tietjens

Internist Interventional Cardiology

3023 N Ballas Rd Ste 200d
Saint Louis , Missouri 63131-2328

(314) 996-7272 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Interventional Cardiology

Languages spoken

  • English

Location

3023 N Ballas Rd Ste 200d Saint Louis , Missouri 63131-2328

First Address

  • Jeremy R Tietjens
  • 3023 N Ballas Rd Ste 200d
  • Saint Louis, MO
  • Zip : 63131-2328
  • Phone : (314) 996-7272

Second Address

  • Jeremy R Tietjens
  • 3023 N Ballas Rd Ste 200d
  • Saint Louis, MO
  • Zip : 63131-2328
  • Phone : (314) 996-7272

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FAQs


Where did Jeremy R Tietjens attend graduate school?

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Where did Jeremy R Tietjens do his residency?

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Where did Jeremy R Tietjens do his fellowship?

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Is Jeremy R Tietjens board certified?

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What type of doctor is Jeremy R Tietjens

Interventional Cardiology

In what state does Jeremy R Tietjens practice in?

Missouri

Where is Jeremy R Tietjens ’s practice located?

3023 N Ballas Rd Ste 200d , Saint Louis, Missouri, 63131-2328

What is Jeremy R Tietjens ’s gender?

Male

Is Jeremy R Tietjens a sole practitioner?

No

Is Jeremy R Tietjens accepting new patients?

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What languages does Jeremy R Tietjens speak?

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Does Jeremy R Tietjens accept insurance?

Yes, Jeremy R Tietjens accepts insurance

Does Jeremy R Tietjens offers telemedicine?

Jeremy R Tietjens has not indicated if he offers telemedicine

What is Jeremy R Tietjens ’s professional license number?

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What is Jeremy R Tietjens ’s NPI number?

1023384831

Does Jeremy R Tietjens have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist 2020020220 MO
N 111NI0900X Internist 2020020220 MO
Y 207RI0011X Interventional Cardiology 2020020220 MO

National Provider Identifier

NPI 1023384831
Provider Name Jeremy R Tietjens
First Address Saint Louis, MO 63131-2328
Second Address Saint Louis, MO 63131-2328
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 26/03/2012
Last Update Date 30/08/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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