Kristopher L Hasstedt (NPI# 1649511585, PAC ID# 8921350869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1649511585 |
| PAC ID by PECOS | 8921350869 |
| Professional Enrollment ID | I20181004000838 |
| Full Name | Kristopher L Hasstedt |
| Organization Legal Name | TYLER ORAL AND FACIAL SURGERY INC |
| Address |
805 Turtle Creek Dr Tyler TX 75701-1937 |
| Phone Number | 9035921664 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF DENTISTRY |
| Graduation Year | 2012 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 0446272306 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 805 Turtle Creek Dr, Tyler, TX 75701-1937 | 9035921664 | TYLER ORAL AND FACIAL SURGERY INC |
| Organization Legal Name | TYLER ORAL AND FACIAL SURGERY INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kourt B Chatelain | Oral Surgery | Tyler Oral and Facial Surgery Inc | 705 E Marshall Ave, Suite 4003, Longview, TX 75601-5660 |
| Makoto Saigusa | General Practice | Tyler Oral and Facial Surgery Inc | 705 E Marshall Ave, Suite 4003, Longview, TX 75601-5660 |
| Jayson J Terres | General Surgery | Tyler Oral and Facial Surgery Inc | 705 E Marshall Ave, Suite 4003, Longview, TX 75601-5660 |
| Street Address |
805 TURTLE CREEK DR |
| City | TYLER |
| State | TX |
| Zip | 75701-1937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose L Enriquez | Diagnostic Radiology | Tyler Radiology Associates, Pa | 1100 S Beckham, Tyler, TX 75701 |
| Frank P Reuter Jr. | Internal Medicine | 712 S Bois D Arc Ave, Tyler, TX 75701-1503 | |
| Tammy L Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| Mark R Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| James Louis Wasson | Obstetrics/gynecology | 649 S Broadway Ave, Suite 2, Tyler, TX 75701-1677 | |
| Michael C Ford | Ophthalmology | 714 Turtle Creek Dr, Tyler, TX 75701-1833 | |
| Rosalyn L Gooch | Certified Registered Nurse Anesthetist (crna) | Novamed Surgery Center of Tyler, Lp | 802 Turtle Creek Dr, Tyler, TX 75701-1900 |
| Evans S Smith | Emergency Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| Li-yu H Mitchell | Family Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| Joseph Leonard Decarlo | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Find all physicians in zip 75701 | |||
| City | TYLER |
| Zip Code | 75701 |
| Specialty | ORAL SURGERY |
| City + Specialty | TYLER + ORAL SURGERY |
Please comment or provide details below to improve the information on Kristopher L Hasstedt.
| 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.