DR. EYOB TESSEMA (NPI# 1639195076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639195076 |
| Entity Type | Individual |
| Full Name | DR. EYOB TESSEMA |
| Credential | M.D. |
| Practice Address |
557 Glover Ave Suite 1 Enterprise AL 36330-2024 |
| Practice Telephone | 3343477705 |
| Practice Fax Number | 3343477715 |
| Mailing Telephone | 3343477705 |
| Mailing Fax Number | 3343477715 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2012-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25331 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009932531 | 05 | |
| AL | SPS - BCBS | 051000552 | 01 |
| AL | EBHS - BCBS | 051530196 | 01 |
| AL | 009937154 | 05 | |
| AL | OSC - BCBS | 051000551 | 01 |
| AL | 009979065 | 05 | |
| AL | 009979865 | 05 | |
| AL | TROY - BCBS | 051534180 | 01 |
| Street Address |
557 GLOVER AVE SUITE 1 |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849441 | Keith L Ellis | Marriage & Family Therapist | 557 Glover Ave, Suite 3, Enterprise, AL 36330-2024 | 2005-08-24 |
| 1265981203 | Laf Counseling Techniques, LLC | Counselor | 557 Glover Ave, Suite 3, Enterprise, AL 36330-2024 | 2016-10-03 |
| 1720484116 | Williams Chiropractic Clinic PC | Chiropractor | 557 Glover Ave, Ste 27, Enterprise, AL 36330-2024 | 2014-11-12 |
| 1508260423 | Barkley Counseling Center, LLC | Counselor | 557 Glover Ave, Suite 3, Enterprise, AL 36330-2024 | 2014-10-21 |
| 1215336300 | Astra Barkley | Counselor | 557 Glover Ave, Suite 3, Enterprise, AL 36330-2024 | 2014-08-14 |
| 1346658796 | The Wealth Lounge | Community/Behavioral Health | 557 Glover Ave, Suite 3, Enterprise, AL 36330-2070 | 2014-07-29 |
| 1467706879 | Tri-county Psychiatric Services, LLC | Psychiatry & Neurology | 557 Glover Ave, Suite 1, Enterprise, AL 36330-2024 | 2012-11-07 |
| 1417188756 | Jennie L. Holmes | Counselor | 557 Glover Ave, Suite 3, Enterprise, AL 36330-2024 | 2009-08-04 |
| 1932221587 | Craig Hollowell | Chiropractor | 557 Glover Ave, Ste 27, Enterprise, AL 36330-2024 | 2007-04-04 |
| 1740302314 | Hollowell Chiropractic, Inc | Chiropractor | 557 Glover Ave, Ste 27, Enterprise, AL 36330-2024 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| Find all providers in zip 36330 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467706879 | Tri-county Psychiatric Services, LLC | Psychiatry & Neurology | 557 Glover Ave, Suite 1, Enterprise, AL 36330-2024 | 2012-11-07 |
| 1841367992 | Meghani Medical, PC | Psychiatry & Neurology | 1275 James Dr, Suite A, Enterprise, AL 36330-2063 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353672 | Jamison Behavioral Wellness LLC | Psychiatry & Neurology | 256 Honeysuckle Rd Ste 12, Dothan, AL 36305-1168 | 2020-03-30 |
| 1275173171 | Lee I Ascherman, Md, LLC | Psychiatry & Neurology | One Office Park, Suite 102, Birmingham, AL 35223-2128 | 2020-01-09 |
| 1225672058 | Csp Psychiatry LLC | Psychiatry & Neurology | 4505 Pine Tree Cir Ste 201, Vestavia, AL 35243-2380 | 2019-11-05 |
| 1588229843 | Amh Enterprises LLC | Psychiatry & Neurology | 2431 E Glenn Ave, Auburn, AL 36830-6419 | 2019-05-02 |
| 1922565936 | Tajuan Lasha Richardson | Psychiatry & Neurology | 2101 10th Pl, Birmingham, AL 35214-6225 | 2019-02-26 |
| 1316444912 | Dr. Graham Psychiatric Services, LLC | Psychiatry & Neurology | 256 Honeysuckle Rd Ste 2, Dothan, AL 36305-1168 | 2018-04-10 |
| 1780187039 | Marc David Feldman | Psychiatry & Neurology | 2609 Crowne Ridge Ct, Vestavia, AL 35243-5351 | 2018-03-13 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1629581517 | Lacey Pody | Psychiatry & Neurology | 48 Medical Park Dr E Ste 159, Birmingham, AL 35235 | 2017-11-14 |
| 1306393079 | Kenneth Hall | Psychiatry & Neurology | 4004 Acton Cir, Birmingham, AL 35243-4202 | 2016-09-09 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 36330 |
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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.