MR. WILLIAM CHARLES TESSENDORF (NPI# 1912004268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912004268 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM CHARLES TESSENDORF |
| Credential | MA, ATC |
| Practice Address |
450 Streaker Road Sykesville MD 21784-8654 |
| Practice Telephone | 4105521064 |
| Practice Fax Number | 4107014103 |
| Mailing Telephone | 4105521064 |
| Mailing Fax Number | 4107014103 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246Z00000X | Specialist/Technologist, Other | AT000164 | OH | Technologists, Technicians & Other Technical Service Providers |
| Y | 246Z00000X | Specialist/Technologist, Other | A0000067 | MD | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
450 STREAKER ROAD |
| City | SYKESVILLE |
| State | MD |
| Zip Code | 21784-8654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033681085 | Kathleen Busching | Occupational Therapy Assistant | Intergrace Fairhaven, 7200 Third Ave, Sykesville, MD 21784 | 2018-12-31 |
| 1619450376 | Mackenzie Fleming | Counselor | 6220 Georgetown Blvd Suite C, Eldersburg, MD 21784 | 2018-09-10 |
| 1316426919 | Rebecca Rubin | Nurse Practitioner | 1380 Progress Way, Suite 102, Eldersburg, MD 21784 | 2018-08-14 |
| 1417473273 | Andrey Doroshenko | Dentist | 1722 Underwood Road, Sykesville, MD 21784 | 2017-08-14 |
| 1992229694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 Georgetown Blvd, Eldersburg, MD 21784 | 2017-08-03 |
| 1457894495 | Bethany Six | Nurse Practitioner | 6190 Gerogetown Blvd, Eldersburg, MD 21784 | 2016-11-23 |
| 1982011821 | Fast Track Urgent Care, LLC | Clinic/Center | 1315 Breton Drive, Eldersburg, MD 21784 | 2014-07-11 |
| 1588097984 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 5961 Exchange Dr, Suite 100, Eldersburg, MD 21784 | 2013-08-21 |
| 1356690986 | Kayla Nicole Koster | Speech-Language Pathologist | 1702 Liberty Road, First Floor, Sykesville, MD 21784 | 2012-08-29 |
| 1558645663 | Fusion Dental | Dentist | 5959 Exchange Drive, Suite 116, Eldersburg, MD 21784 | 2011-10-07 |
| Find all providers in zip 21784 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780114405 | Monique La Shon Williams | Specialist/Technologist, Other | 1221 Mercantile Ln Ste 203, Upper Marlboro, MD 20774-5374 | 2017-06-14 |
| 1104362839 | Michelle Phebus | Specialist/Technologist, Other | 1812 Lorgnette Ct, Severn, MD 21144-1635 | 2017-01-19 |
| 1407391311 | Christopher Hartman | Specialist/Technologist, Other | 2755 Augustine Herman Hwy, Chesapeake City, MD 21915-1408 | 2016-12-31 |
| 1033588496 | Linda Odum | Specialist/Technologist, Other | 7779 Kidwell Dr, Hanover, MD 21076-1635 | 2015-09-16 |
| 1497162853 | Hema Kaur Sidhu | Specialist/Technologist, Other | 5216 Lynngate Rd, Columbia, MD 21044-1435 | 2014-07-17 |
| 1891054045 | Richard Hess | Specialist/Technologist, Other | 53 Ridge Rd Unit K, Greenbelt, MD 20770-7711 | 2012-05-09 |
| 1205193885 | Devole Thompson | Specialist/Technologist, Other | 1811 Glendora Dr, District Heights, MD 20747-1880 | 2012-04-19 |
| 1215212543 | Bobby Mitchell | Specialist/Technologist, Other | 9228 Vollmerhausen Rd, Jessup, MD 20794-9518 | 2011-10-18 |
| 1518256312 | Complete Mobile Diagnostics LLC | Specialist/Technologist, Other | 3309 Deer Hill Rd, Street, MD 21154 | 2011-04-01 |
| 1275604381 | Mary Y. Duan | Specialist/Technologist, Other | 1221 Maple Grove Ln, Rockville, MD 20850-6692 | 2006-11-11 |
| Find all providers with the same taxonomy | ||||
| City | SYKESVILLE |
| Zip Code | 21784 |
Please comment or provide details below to improve the information on MR. WILLIAM CHARLES TESSENDORF.
| 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.