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Deactivated NPI 1194905232 Deactivated / Inactive NPI Male Practitioner

Sidney Wilson Tiesenga

Orthopaedic Surgery • White Stone, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sidney Tiesenga has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 06, 2007
NPI Deactivation Date September 20, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Sidney Tiesenga was a registered Orthopaedic Surgery practicing in White Stone, VA. Throughout an active medical career spanning 14 years, Sidney Tiesenga provided care at the practice location at 469 COPPEDGE FARM RD until profile deactivation on 2021-09-20.

Practice Location & Contact Primary Location

Practice Address

469 Coppedge Farm Rd

White Stone, VA 225782027

Telephone 8044350441
Fax 8044359434

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in White Stone, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
1 Specialists

Practicing in White Stone, VA (618 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License VA 0101018913

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 20, 2021

Record deactivated on September 20, 2021

NPI Profile Active November 06, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 06, 2007

Registered at 469 COPPEDGE FARM RD, WHITE STONE, VA 225782027 (Tel: 8044350441)

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Updated Business Mailing Address November 06, 2007

Registered at 469 COPPEDGE FARM RD, WHITE STONE, VA 225782027 (Tel: 8044350441)

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Provider Name / Credentials Updated November 06, 2007

Recorded as SIDNEY TIESENGA

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2007

Orthopaedic Surgery (License #0101018913 in VA)

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Initial NPI Registration & Enumeration November 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194905232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2007
Last Update: November 06, 2007
Deactivation Date: September 20, 2021

Mailing Address

469 Coppedge Farm Rd

White Stone, VA 225782027

Phone: 8044350441

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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