Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Patrick T Tiedeken, MD

Individual provider Ophthalmology Physician · NPI 1013994805

Dr. Patrick T Tiedeken, MD is an Ophthalmology in Lancaster, Pennsylvania. Graduated from Perelman School of Med at the University of Pennsylvania in 1980, 46 years ago. Practices with Integrated Medical Group P C, a 105-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
46
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
PA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2170 Noll Dr Ste 400
Lancaster, PA 17603-7609
Phone: (717) 417-8950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD-025186E (PA)

Record details

NPI number1013994805
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 22, 2005
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address2170 Noll Dr Ste 400, Lancaster, PA 17603-7609

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 1980 (46 years in practice)
Group practice Integrated Medical Group P C — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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