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

Jason Alan Tiede, PA

Individual provider Medical Physician Assistant · NPI 1629084900

Jason Alan Tiede, PA is a Medical Physician Assistant in Joplin, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1800 W 30th St
Joplin, MO 64804-1520
Phone: (417) 782-5000
Fax: (417) 782-2945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 117822 (MO)

Record details

NPI number1629084900
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 31, 2006
Last updated in NPPESJuly 8, 2007

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