Tewodros Fesseha (NPI# 1225098783, PAC ID# 3274502471) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1225098783 |
| PAC ID by PECOS | 3274502471 |
| Professional Enrollment ID | I20180622000160 |
| Full Name | Tewodros Fesseha |
| Organization Legal Name | UROLOGY HEALTH CENTER PC |
| Address |
2735 N Clarkson St Fremont NE 68025-7717 |
| Phone Number | 4027275000 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 0345215851 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281334 | BOONE COUNTY HEALTH CENTER |
| 280077 | FREMONT HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 2735 N Clarkson St, Fremont, NE 68025-7717 | 4027275000 | UROLOGY HEALTH CENTER PC |
| 6829 N 72nd St, Suite 7200, Omaha, NE 68122-1728 | 4023910705 | UROLOGY HEALTH CENTER PC |
| Organization Legal Name | UROLOGY HEALTH CENTER PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald Clyde Felt | Urology | Urology Health Center PC | 2735 N Clarkson St, Fremont, NE 68025-7717 |
| Street Address |
2735 N CLARKSON ST |
| City | FREMONT |
| State | NE |
| Zip | 68025-7717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ansar Ullah Khan | Urology | 2735 N Clarkson St, Suite 2, Fremont, NE 68025-7717 | |
| Manjula Tella | Neurology | 2735 N Clarkson St, Fremont, NE 68025-7717 | |
| Emily Rachel Kean-puccioni | Urology | Adult and Pediatric Urology PC | 2735 N Clarkson St, Fremont, NE 68025-7717 |
| Gerald Clyde Felt | Urology | Urology Health Center PC | 2735 N Clarkson St, Fremont, NE 68025-7717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey A Himmelberg | Diagnostic Radiology | Advanced Radiology of Grand Island PC | 420 E 23rd St, Fremont, NE 68025-2303 |
| Michael Andrew Thompson | Orthopedic Surgery | Orthowest PC | 450 E 23rd St, Fremont Medical Ctr, Fremont, NE 68025-2303 |
| Mary Louise Schlautman | Certified Registered Nurse Anesthetist (crna) | Anesthesia Care Specialists PC | 450 E 23rd St, Fremont, NE 68025-2303 |
| Adrienne D Dickmeyer | Physician Assistant | Orthowest PC | 450 E 23rd St, Fremont Medical Ctr, Fremont, NE 68025-2303 |
| Erik A Pedersen | Diagnostic Radiology | General Radiology PC | 450 E 23rd St, Fremont, NE 68025-2303 |
| Nicole L Wagner Dix | Obstetrics/gynecology | Fremont Health Clinic | 450 E 23rd St, Dunklau Gardens, Fremont, NE 68025-2303 |
| Andrew J Frager | Diagnostic Radiology | General Radiology PC | 450 E 23rd St, Fremont, NE 68025-2303 |
| Carter N Cook | Diagnostic Radiology | General Radiology PC | 450 E 23rd St, Fremont, NE 68025-2303 |
| Mohammed K Zahra | Radiation Oncology | Hematology and Oncology Consultants PC | 450 E 23rd St, Fremont, NE 68025-2303 |
| Patricia A Helke | Diagnostic Radiology | General Radiology PC | 450 E 23rd St, Fremont, NE 68025-2303 |
| Find all physicians in zip 68025 | |||
| City | FREMONT |
| Zip Code | 68025 |
| Specialty | UROLOGY |
| City + Specialty | FREMONT + UROLOGY |
Please comment or provide details below to improve the information on Tewodros Fesseha.
| 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.