Christopher C Tietze, MD | |
50 N Medical Dr, Salt Lake City, UT 84132-0001 | |
(801) 581-7802 | |
Not Available |
Full Name | Christopher C Tietze |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 50 N Medical Dr, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811087448 | NPI | - | NPPES |
003045300 | Medicaid | ID | |
10234 | Medicaid | UT | |
100002311 | Other | UT | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 183411-1205 (Utah) | Primary |
207R00000X | Internal Medicine | 183411-1205 (Utah) | Secondary |
Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
Mailing Address | Practice Location Address |
---|---|
Christopher C Tietze, MD Po Box 581700, Salt Lake City, UT 84158-1700 Ph: (801) 213-3800 | Christopher C Tietze, MD 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 581-7802 |
Dr. Mehmet Akkaya, M.D Gastroenterology Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689 | |
Dr. Willard Dere, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565 | |
Megan Meier, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Siddharth K. Iyengar, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606 | |
Taryn A. Young, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398 | |
David C. Haak, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580 | |
Therese J. Battiola, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606 |