JASON ALAN TIEDE P.A.
NPI 1629084900
Physician Assistant - Medical in Joplin, MO

Active since July 31, 2006
1800 W 30TH ST, JOPLIN, MO 64804(417) 782-5000(417) 782-2945 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason Alan Tiede P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON ALAN TIEDE P.A. (NPI 1629084900) is an individual medical provider in Joplin, Missouri, licensed in Missouri (117822) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1629084900
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJASON ALAN TIEDECredential: P.A.
Location Address1800 W 30TH STJoplin, MO 64804-1520
Mailing Address1800 W 30th StJoplin, MO 64804-1520 · (417) 782-5000 · Fax (417) 782-2945
Fax(417) 782-2945
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1629084900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MO · 117822
1800 W 30TH ST, Joplin, MO 64804

Other Identifiers 3

Medicare ID-Type Unspecified426956KS
Other0000426956KS · Blue Cross Blue Shield
Medicare UPINQ61080

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1800 W 30TH ST
JOPLIN, MO 64804
Counselor (Professional)
1800 W 30TH ST
JOPLIN, MO 64804
Counselor (Professional)
1800 W 30TH ST
JOPLIN, MO 64804
Social Worker
1800 W 30TH ST
JOPLIN, MO 64804
Counselor (Professional)
1800 W 30TH ST
JOPLIN, MO 64804
Social Worker (Clinical)
1800 W 30TH ST
JOPLIN, MO 64804
Nurse Practitioner (Psychiatric/Mental Health)
1800 W 30TH ST
JOPLIN, MO 64804
Social Worker
1800 W 30TH ST
JOPLIN, MO 64804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Tiede's NPI number?

The NPI number for Jason Tiede is 1629084900. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Jason Tiede located?

Jason Tiede practices at 1800 W 30th St, Joplin, MO 64804. The listed phone number is (417) 782-5000.

What is Jason Tiede's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jason Tiede was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.