TEDLA T TESSEMA


Address: 1101 Sam Perry Blvd, Suite 219, Fredericksburg, VA 22401-4467
Phone: 5407412855

TEDLA T TESSEMA (NPI# 1952573370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952573370
Entity Type Individual
Full Name TEDLA T TESSEMA
Credential MD
Practice Address 1101 Sam Perry Blvd
Suite 219
Fredericksburg
VA 22401-4467
Practice Telephone 5407412855
Practice Fax Number 5407412859
Mailing Telephone 5407412855
Mailing Fax Number 5407412859
Enumeration Date 2008-03-26
Last Update Date 2008-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0127X Surgery
Specialization: Trauma Surgery
MD036824 DC Allopathic & Osteopathic Physicians

Office Location

Street Address 1101 SAM PERRY BLVD
SUITE 219
City FREDERICKSBURG
State VA
Zip Code 22401-4467

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952301806 Stephanie M Strazinsky Physician Assistant 1101 Sam Perry Blvd, Suite 207, Fredericksburg, VA 22401-4467 2005-07-21
1144843095 Paul James Kinkead Physician Assistant 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 2020-05-27
1386282176 Ashley Michelle Baker Advanced Practice Midwife 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 2019-12-12
1831735323 Charles D Valiani Pharmacist 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 2019-11-20
1376094557 Cheryl Denise Corey Nurse Practitioner 1101 Sam Perry Blvd, Suite 207, Fredericksburg, VA 22401-4467 2016-10-21
1306291646 Paige Lynch Nurse Practitioner 1101 Sam Perry Blvd, Suite 219, Fredericksburg, VA 22401-4465 2016-04-23
1033577390 Sarah Vitaletti Nurse Practitioner 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401-4467 2016-02-02
1497129134 Lauren Backy Nurse Practitioner 1101 Sam Perry Blvd, Suite 401, Fredericksburg, VA 22401-4467 2015-11-18
1679998116 Jared Kachurak Physician Assistant 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401-4467 2014-02-20
1952742660 Kimberly Beth Gordon Physician Assistant 1101 Sam Perry Blvd, Tompkins Martin Medical Plaza Suite 221, Fredericksburg, VA 22401-4467 2013-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992313415 Amanda Dodd Behavior Technician 1411 Princess Anne, Fredericksburg, VA 22401 2020-07-21
1215567326 Britteny Whitaker Behavior Technician 1411 Princess Ann, Fredericksburg, VA 22401 2020-01-17
1396389433 Ashley Stanevich Behavior Technician 1411 Princess Anne Lane, Fredericksburg, VA 22401 2019-11-01
1265074231 Anna Kelleher Behavior Technician 1411 Princess Anna St, Frericksburg, VA 22401 2019-10-11
1649824152 Zaan Z Ali Audiologist 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 2019-08-01
1790342426 Michael Williams Jr. Physician Assistant 411 B Park Hill Dr, Frederickburg, VA 22401 2019-05-29
1285290965 Ann Damalie Namabiro Behavior Technician 1411 Princess Ann Street, Fredericksburg, VA 22401 2019-05-17
1922579630 Primary and Urgent Care LLC Family Medicine Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 2018-12-07
1003323056 Mariah Mazzariello Behavior Technician 1411 Princess Anne Stree, Fredericksburg, VA 22401 2017-12-29
1336655281 Hina Zafar Behavior Technician 1411 Princess Anne St., Fredericksburg, VA 22401 2017-12-14
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Taxonomy Information

Taxonomy Code 2086S0127X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Trauma Surgery

Taxonomy Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427241090 Medidoctors LLC Surgery 1101 Sam Perry Blvd, Suite 314, Fredericksburg, VA 22401-4467 2007-08-27
1437102514 Donald R Kauder Surgery 1101 Sam Perry Blvd, Suite 219, Fredericksburg, VA 22401-4467 2006-05-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528685120 Hannah Beam Surgery 1627 Farmington Dr, Forest, VA 24551-5612 2020-06-30
1023582046 Lauren Elizabeth Rusy Surgery 111 Lighthouse Ln, Winchester, VA 22602-6191 2019-01-12
1548467855 Timothy Joshua Donahue Surgery 2110 Marina Shores Dr # 330, Virginia Beach, VA 23451-6800 2007-06-29
1164495040 Thomas Preston Davis Surgery 1148 Kingsbury Dr, Chesapeake, VA 23322-4264 2006-02-10
1417466780 Hamdy Medical Center PC Surgery 110 Commonwealth Blvd W, Martinsville, VA 24112-1913 2017-09-29
1447796073 Premier Trauma and Surgical Specialists LLC Surgery 44045 Riverside Pkwy, Leesburg, VA 20176-5101 2017-01-06
1902076169 Paula E Ferrada Surgery 1250 E Marshall St, Surgery, Richmond, VA 23298-5051 2008-03-04
1144425034 Rahul Jagdish Anand Surgery 1250 E Marshall St, Surgery, Richmond, VA 23298-5051 2007-06-19
1902993041 Bryan Collier Surgery 3 Riverside Cir, Roanoke, VA 24016-4955 2006-10-09
1700807179 Christopher P Michetti Surgery 3300 Gallows Rd, Physician Billing, Falls Church, VA 22042-3307 2006-07-21
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Competitor

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City FREDERICKSBURG
Zip Code 22401

Improve Information

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Dataset Information

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.

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