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

John Jay Tiedeken, MD

Individual provider Surgery Physician · NPI 1770703902

John Jay Tiedeken, MD is a General Surgery in Hershey, Pennsylvania. Qualified in 1994, 32 years ago. Practices with Robert Marriott Medical Corp, a 64-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
32
Licensed in
PA
In the registry since
2007
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

500 University Dr H088
Hershey, PA 17033-2360
Phone: (717) 531-1692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MT048089 (PA)

Record details

NPI number1770703902
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2007
Last updated in NPPESFebruary 17, 2011
Mailing address500 University Dr, H088, Hershey, PA 17033-2360

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Robert Marriott Medical Corp — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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