Andrew S Tedesco (NPI# 1235128851, PAC ID# 0547295735) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1235128851 |
| PAC ID by PECOS | 0547295735 |
| Professional Enrollment ID | I20050927000643 |
| Full Name | Andrew S Tedesco |
| Organization Legal Name | EPIPHANY DERMATOLOGY OF ARIZONA LLC |
| Address |
6648 E Carondelet Dr Tucson AZ 85710-2119 |
| Phone Number | 5208868151 |
| Gender | M |
| Credential | MD |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9830181361 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6648 E Carondelet Dr, Tucson, AZ 85710-2119 | 5208868151 | EPIPHANY DERMATOLOGY OF ARIZONA LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 79% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 12% |
| Organization Legal Name | EPIPHANY DERMATOLOGY OF ARIZONA LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara M Royse | Physician Assistant | Epiphany Dermatology of Arizona LLC | 7767 W Deer Valley Rd, Suite 140, Peoria, AZ 85382-2103 |
| Joan S Altman | Physician Assistant | Epiphany Dermatology of Arizona LLC | 2525 W Carefree Hwy, Suite 144, Phoenix, AZ 85085-6096 |
| Lisa R Hynes | Dermatology | Epiphany Dermatology of Arizona LLC | 7767 W Deer Valley Rd, Suite 140, Peoria, AZ 85382-2103 |
| Connie D Nikolaidis | Nurse Practitioner | Epiphany Dermatology of Arizona LLC | 6648 E Carondelet Dr, Tucson, AZ 85710-2119 |
| Julie D Jacobs | Dermatology | Epiphany Dermatology of Arizona LLC | 2525 W Carefree Hwy, Suite 144, Phoenix, AZ 85085-6096 |
| Thomas Lee | Dermatology | Epiphany Dermatology of Arizona LLC | 2525 W Carefree Hwy, Suite 144, Phoenix, AZ 85085-6096 |
| Deborah S Mendelson | Dermatology | Epiphany Dermatology of Arizona LLC | 9327 N 3rd St, Suite 206, Phoenix, AZ 85020-2473 |
| Velika J Lotwala | Physician Assistant | Epiphany Dermatology of Arizona LLC | 7767 W Deer Valley Rd, Suite 140, Peoria, AZ 85382-2103 |
| Jennifer Claire Aronica | Dermatology | Epiphany Dermatology of Arizona LLC | 2525 W Carefree Hwy, Suite 144, Phoenix, AZ 85085-6096 |
| Matthew S Crosby | Dermatology | Epiphany Dermatology of Arizona LLC | 1916 Paseo San Luis, Sierra Vista, AZ 85635-4614 |
| Street Address |
6648 E CARONDELET DR |
| City | TUCSON |
| State | AZ |
| Zip | 85710-2119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie D Nikolaidis | Nurse Practitioner | Epiphany Dermatology of Arizona LLC | 6648 E Carondelet Dr, Tucson, AZ 85710-2119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Christine Moncada | Nurse Practitioner | 7290 E Broadway Blvd, Suite 124, Tucson, AZ 85710-0409 | |
| Christopher Charles Cox | Chiropractic | Life Aligned Wellness Center LLC | 7290 E Broadway Blvd, Suite 178, Tucson, AZ 85710-0412 |
| Lee A Kalaba | Chiropractic | Life Aligned Wellness Center LLC | 7290 E Broadway Blvd, Suite 178, Tucson, AZ 85710-0412 |
| David D Kim | Ophthalmology | Sean J Mccafferty Md, PC | 6422 E Speedway Blvd, Suite 100, Tucson, AZ 85710-1148 |
| Trevor L Rosenlof | Ophthalmology | Sean J Mccafferty Md, PC | 6422 E Speedway Blvd, Suite 100, Tucson, AZ 85710-1148 |
| Jason M Levine | Ophthalmology | Sean J Mccafferty Md, PC | 6422 E Speedway Blvd, Suite 100, Tucson, AZ 85710-1148 |
| Warren H Chue | Optometry | Sean J Mccafferty Md, PC | 6422 E Speedway Blvd, Suite 100, Tucson, AZ 85710-1148 |
| Lauren M Imbornoni | Ophthalmology | Sean J Mccafferty Md, PC | 6422 E Speedway Blvd, Suite 100, Tucson, AZ 85710-1148 |
| Sean J Mccafferty | Ophthalmology | Sean J Mccafferty Md, PC | 6422 E Speedway Blvd, Suite 100, Tucson, AZ 85710-1148 |
| Melissa M Muller | Optometry | Sean J Mccafferty Md, PC | 6422 E Speedway Blvd, Suite 100, Tucson, AZ 85710-1148 |
| Find all physicians in zip 85710 | |||
| City | TUCSON |
| Zip Code | 85710 |
| Specialty | DERMATOLOGY |
| City + Specialty | TUCSON + DERMATOLOGY |
Please comment or provide details below to improve the information on Andrew S Tedesco.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.