Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey S. Tiahrt, PA-C

Individual provider Physician Assistant · NPI 1912183476

Jeffrey S. Tiahrt, PA-C is a Physician Assistant in Sartell, Minnesota. Qualified in 2007, 19 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
19
Licensed in
MN
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1901 Connecticut Ave S
Sartell, MN 56377
Phone: (320) 259-4100
Fax: (320) 257-5523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3315 Roosevelt Rd Ste 200b, Saint Cloud, MN 56301-9687 — (320) 259-4100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10396 (MN)

Record details

NPI number1912183476
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2008
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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