DR. NICHOLAS STEVEN TEDESCO (NPI# 1528290459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528290459 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS STEVEN TEDESCO |
| Credential | D.O. |
| Practice Address |
3620 Nw Samaritan Dr Ste 202 Corvallis OR 97330-3785 |
| Practice Telephone | 5417684810 |
| Mailing Telephone | 5417684810 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | DO174975 | OR | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 5828 | OK | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | DO034459 | DC | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 34.009952 | OH | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 58.003147 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003195496 | Nicholas A Tedesco | Dentist | 230 West 41st St., 2nd Floor, New York, NY 10036 | 2011-08-16 |
| Street Address |
3620 NW SAMARITAN DR STE 202 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912019217 | Michelle Marie Ryan | Internal Medicine | 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-3785 | 2006-08-31 |
| 1821400367 | Jack Chen | Internal Medicine | 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-3785 | 2014-06-02 |
| 1902028111 | Jason Seitetsu Lin | Orthopaedic Surgery | 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-3785 | 2007-05-03 |
| 1457449316 | Melissa Renee Coombs | Physician Assistant | 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-4714 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467401414 | John C Erkkila | Orthopaedic Surgery | 7325 Nw Spring Creek Dr, Corvallis, OR 97330-9794 | 2006-05-08 |
| 1306834601 | Ronald D Wobig | Orthopaedic Surgery | 1128 Ne 2nd Street, Suite 201, Corvallis, OR 97330-6227 | 2005-10-11 |
| 1528687068 | Jacob Pearson | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-14 |
| 1922637222 | Maxwell R Jiganti | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-07 |
| 1932737640 | Jibran Ali Khan | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-03-29 |
| 1073176756 | Alexandra Makenzie Scoles | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-04-17 |
| 1467015545 | Christopher Canario | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-04-15 |
| 1689137879 | Delaney Ann Keane | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-04-13 |
| 1497252670 | Taylor Alexandra Harris | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2018-04-12 |
| 1891292066 | Jared Sanderford | Orthopaedic Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2018-04-12 |
| Find all providers in CORVALLIS | ||||
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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.