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

John S Tiedeman, MD

Individual provider Anesthesiology Physician · NPI 1104047307

John S Tiedeman, MD is an Anesthesiology in Charlottesville, Virginia. Graduated from University of Virginia School of Medicine in 2004, 22 years ago. Practices with Smg Anesthesia Specialists LLC, a 498-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
22
Trained at
University of Virginia School of Medicine
Licensed in
VA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

459 Locust Ave
Charlottesville, VA 22902-4808
Phone: (434) 296-7733
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 0101243857 (VA)

Record details

NPI number1104047307
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESJuly 2, 2008
Mailing address311 10th St Ne, Charlottesville, VA 22902-5316

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Smg Anesthesia Specialists Llc — 498 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charlottesville