JOHN V TEDESCO DO PA (NPI# 1164767018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164767018 |
| Entity Type | Organization |
| Organization Name | JOHN V TEDESCO DO PA |
| Practice Address |
209 S 36th St Suite A Muskogee OK 74401-5043 |
| Practice Telephone | 9189139513 |
| Practice Fax Number | 9189139515 |
| Mailing Telephone | 9189139513 |
| Mailing Fax Number | 9189139515 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |
| Authorized Official Name | JOHN V TEDESCO (OWNER) |
| Authorized Official Telephone | 9189139513 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | OK | Allopathic & Osteopathic Physicians |
| Street Address |
209 S 36TH ST SUITE A |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528806 | Fred Michael Ruefer | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2005-06-17 |
| 1699230961 | Monica Hare | Nurse Practitioner | 209 S 36th St, Muskogee, OK 74401-5043 | 2019-01-31 |
| 1972899144 | Dennis Rivero, Md, Inc., PC | Orthopaedic Surgery | 209 S 36th St, Muskogee, OK 74401-5043 | 2011-06-25 |
| 1700175155 | Muskogee Bone & Joint & Sports Medicine | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2011-04-06 |
| 1841508918 | Jack E Weaver, Md PC | Internal Medicine | 209 S 36th St, Muskogee, OK 74401-5043 | 2010-09-22 |
| 1568777043 | Guy E. Grooms, M.d., P.C. | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2010-08-09 |
| 1184947236 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Family Medicine | 209 S 36th St, Muskogee, OK 74401-5043 | 2010-03-03 |
| 1518161249 | Fred M Ruefer, Md PC | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2007-06-14 |
| 1548479942 | Jennifer Miller | Specialist/Technologist | 209 S 36th St, Muskogee, OK 74401-5043 | 2007-05-22 |
| 1619982188 | Dennis Rivero | Orthopaedic Surgery | 209 S 36th St, Suite A, Muskogee, OK 74401-5043 | 2006-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013051226 | Jay Allen Gregory | Surgery | 333 S 38th St Ste D, Muskogee, OK 74401-4937 | 2007-02-19 |
| 1437613890 | Kyle A Baer | Surgery | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-01-29 |
| 1063706679 | Danielle Renee Burkdoll | Surgery | 3504 W Okmulgee St, Muskogee, OK 74401-5073 | 2011-06-01 |
| 1346577343 | Jay Gregory, M.d., Inc. P.C. | Surgery | 333 S 38th St, Suite D, Muskogee, OK 74401-4937 | 2009-11-11 |
| 1457433229 | William F Dubbs | Surgery | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702127 | Advanced Surgical Assisting, LLC | Surgery | 4012 E 108th St, Tulsa, OK 74137-6707 | 2020-05-20 |
| 1639642655 | Okc Surgicalists Pllc | Surgery | 4140 W Memorial Rd Ste 408, Oklahoma City, OK 73120-8300 | 2019-01-03 |
| 1376016329 | Oklahoma Acute Care Surgical Specialists LLC | Surgery | 4016 E 27th St, Tulsa, OK 74114-5908 | 2019-01-02 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1588107957 | Elias Cardiovascular Disease Pllc | Surgery | 1104 E State Highway 152 Unit 2, Mustang, OK 73064-5116 | 2016-12-02 |
| 1831540608 | Eric Waetjen | Surgery | 4502 E 51st St, 2g06, Tulsa, OK 74135-3702 | 2016-06-23 |
| 1811381247 | Mohamad Sidani | Surgery | 800 Stanton L Young Blvd # 9432, Oklahoma City, OK 73104-5018 | 2015-03-24 |
| 1336554880 | Alex Jones | Surgery | 500 E Robinson St Ste 1300, Norman, OK 73071-6694 | 2014-06-24 |
| 1396159596 | Paul Mcgaha II | Surgery | 10920 Sw 30th Ter, Yukon, OK 73099-0435 | 2014-06-16 |
| 1154747053 | Haley Adams | Surgery | 115 W 13th St, Grove, OK 74344-3224 | 2014-03-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.