SCOTT TIEDEBOHL M.D. – NPI #1992097562
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

SCOTT TIEDEBOHL is a thoracic surgeon located in YORK, PA. NPPES has assigned the NPI number 1992097562 to SCOTT TIEDEBOHL on May 13, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 2 years ago on Feb 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SCOTT TIEDEBOHL below.

NPI Profile for
SCOTT TIEDEBOHL

NPI Number
1992097562
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SCOTT TIEDEBOHL
Credentials
M.D.
Primary location
25 MONUMENT RD STE 295
YORK, PA 17403-5049
Phone: (717) 356-5864 Fax: (717) 409-6221
2 Other location(s):
446 N Reading Rd Fl 2
Ephrata, PA 17522-9802
Phone: (717) 356-5864
Fax: (717) 409-6221
252 S 4th St Fl 2
Lebanon, PA 17042-6111
Phone: (717) 812-4095
Fax: (717) 409-6221
Mailing address
601 MEMORY LN
YORK, PA 17402-2231
Phone: (717) 356-5864 Fax: (717) 409-6221
Sole Proprietor
Yes
Updated
Certification Date
Feb 27, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SCOTT TIEDEBOHL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidPA1035840960001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)		 PA MD464828

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
EASTERN VIRGINIA MEDICAL SCHOOL - Graduated 2000
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SCOTT TIEDEBOHL is affiliated with the following medical group(s):
  • HOSPITAL
    • GETTYSBURG HOSPITAL
      147 GETTYS STREET
      GETTYSBURG, PA 17325
    • WELLSPAN YORK HOSPITAL
      1001 SOUTH GEORGE STREET
      YORK, PA 17403
  • HOME HEALTH AGENCY
    • WELLSPAN VNA HOME CARE
      540 SOUTH GEORGE STREET
      YORK, PA 17401

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.