OrganizationActive
Tom Tietjen MD PLLC
NPI 1518360916 · Gastroenterology Physician · Petoskey, MI
Tom Tietjen MD PLLC is a Gastroenterology Physician organization in Petoskey, MI (NPI 1518360916).
Provider details
- NPI number
- 1518360916
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Tietjen, Manager(231) 439-5491
- License
- 4301077247 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
267 Creekside Dr
Suite 200
Petoskey, MI 49770-7609
Phone: (231) 753-2105
Fax: (231) 344-5923
Street-level locationGet directions
Mailing address
859 Surrey Ln
Petoskey, MI 49770-9310
Registry dates
- Enumerated
- 2014-09-30
- Last updated
- 2014-12-12
Frequently asked questions
- What is Tom Tietjen MD PLLC's NPI number?
- Tom Tietjen MD PLLC's National Provider Identifier (NPI) is 1518360916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tom Tietjen MD PLLC?
- Tom Tietjen MD PLLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Tom Tietjen MD PLLC located?
- Tom Tietjen MD PLLC's practice location on file with NPPES is 267 Creekside Dr, Petoskey, MI 49770-7609.
- What is Tom Tietjen MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tom Tietjen MD PLLC is (231) 753-2105.
- Who is the authorized official for Tom Tietjen MD PLLC?
- The authorized official listed on Tom Tietjen MD PLLC's NPPES record is Thomas Tietjen, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tom Tietjen MD PLLC's NPI active?
- Yes — Tom Tietjen MD PLLC's NPI (1518360916) is active in the NPPES registry as of the last update on 2014-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.