Brian Lee Tesar (NPI# 1255390290, PAC ID# 0648213520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1255390290 |
| PAC ID by PECOS | 0648213520 |
| Professional Enrollment ID | I20081218000685 |
| Full Name | Brian Lee Tesar |
| Address |
1 Richmond Sq Suite 103k Providence RI 02906-5166 |
| Phone Number | 4012872700 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1992 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Richmond Sq, Suite 103k, Providence, RI 02906-5166 | 4012872700 | |
| 455 Toll Gate Rd, Warwick, RI 02886-2759 | 4017377010 | AFFINITY PHYSICIANS LLC. |
| Street Address |
1 RICHMOND SQ SUITE 103K |
| City | PROVIDENCE |
| State | RI |
| Zip | 02906-5166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane E Passantino | Clinical Social Worker | 1 Richmond Sq, Suite 103k, Providence, RI 02906-5166 | |
| Martha A Powers | Clinical Social Worker | 1 Richmond Sq, Suite 148e, Providence, RI 02906-5157 | |
| Jessica V Fortunato | Psychologist, Clinical | 1 Richmond Sq, Suite 217w, Providence, RI 02906-5136 | |
| Anait Azarian | Psychologist, Clinical | 1 Richmond Sq, Suite 102k, Providence, RI 02906-5160 | |
| Christine L Enos | Clinical Social Worker | 1 Richmond Sq, Suite 130c, Providence, RI 02906-5155 | |
| Phyllis M Choquette | Clinical Social Worker | 1 Richmond Sq, Suite 139c, Providence, RI 02906-5140 | |
| Mary Mueller | Clinical Social Worker | 1 Richmond Sq, Suite 232e, Providence, RI 02906-5139 | |
| Marshall B Wold | Psychiatry | 1 Richmond Sq, Suite 130c, Providence, RI 02906-5155 | |
| Lucia Watson | Qualified Speech Language Pathologist | 1 Richmond Sq, Suite 108c, Providence, RI 02906-5154 | |
| Susan B Reuker | Clinical Social Worker | 1 Richmond Sq, Suite 333w, Providence, RI 02906-5156 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Jerry Scaramella | Psychiatry | 480 Hope St, Providence, RI 02906-1631 | |
| Lisa S Schachter | Clinical Social Worker | 475 Hope St, Providence, RI 02906-1639 | |
| Nancy S Remington | Certified Clinical Nurse Specialist (cns) | 475 Hope St, Providence, RI 02906-1639 | |
| Kathryn Roth | Clinical Social Worker | 475 Hope St, Suite 1, Providence, RI 02906-1639 | |
| Danielle M Jadin | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Alix Stockwood | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Albert J Pechie | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Cynthia Rosengard | Psychologist, Clinical | 295 Angell St, Providence, RI 02906-2119 | |
| Michael Zola | Chiropractic | 144 Waterman St, Suite 2, Providence, RI 02906-2126 | |
| Leila K Oconnell | Clinical Social Worker | 144 Waterman St, Suite 1, Providence, RI 02906-2126 | |
| Find all physicians in zip 02906 | |||
| City | PROVIDENCE |
| Zip Code | 02906 |
| Specialty | PSYCHIATRY |
| City + Specialty | PROVIDENCE + PSYCHIATRY |
Please comment or provide details below to improve the information on Brian Lee Tesar.
| 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.