DR. TESSA E MADDEN (NPI# 1104861665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104861665 |
| Entity Type | Individual |
| Full Name | DR. TESSA E MADDEN |
| Credential | MD |
| Practice Address |
4901 Forest Park Ave Ste 710 Ste 710 Saint Louis MO 63108-1402 |
| Mailing Address |
660 S Euclid Ave C B 8064 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143624211 |
| Practice Fax Number | 3143620049 |
| Mailing Telephone | 3143624211 |
| Mailing Fax Number | 3142226245 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
2007016514 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 | |
| MO | 204598304 | 05 |
| Street Address |
4901 FOREST PARK AVE STE 710 STE 710 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647345 | George A Macones | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2005-05-24 |
| 1346751997 | Danielle Nichole Turnbull | Nurse Practitioner | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2017-10-22 |
| 1538697875 | Kerry Marsh Haas | Genetic Counselor, MS | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2017-05-31 |
| 1992068845 | Kristina Sondgeroth | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2012-06-15 |
| 1346502234 | Laura James Nywening | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2012-06-15 |
| 1669748406 | Adam Korrick Lewkowitz | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2012-03-27 |
| 1831464254 | Joshua Isaac Rosenbloom | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2012-03-19 |
| 1497027247 | Melissa B Wallace | Nurse Practitioner | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2012-02-08 |
| 1083907844 | Holly Steiner | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2011-05-25 |
| 1891085395 | Gillian Brit Schivone | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2011-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124404546 | Jean-alfred Thomas Inc | Obstetrics & Gynecology | 1031 Bellevue Ave # B, Suite 200, Saint Louis, MO 63117-1818 | 2015-08-07 |
| 1467414177 | Renee D Ewing | Obstetrics & Gynecology | 211 N Meramec Ave, Suite 200, Saint Louis, MO 63105-3745 | 2006-04-06 |
| 1457766255 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 10004 Kennerly Rd, Ste 395b, Saint Louis, MO 63128-2141 | 2014-07-01 |
| 1144634502 | Whitney Trotter Ross | Obstetrics & Gynecology | 4901 Forest Park Ave, Ste 710, Saint Louis, MO 63108-1495 | 2014-06-13 |
| 1194972125 | Thomas R Whalen Md LLC | Obstetrics & Gynecology | 621 S New Ballas Rd, Tower A Suite 537, Saint Louis, MO 63141-8232 | 2008-08-21 |
| 1679735302 | St Anthony's Physician Organization Private Practices Lc | Obstetrics & Gynecology | 12700 Southfork Rd, Ste 255, Saint Louis, MO 63128-3201 | 2008-06-25 |
| 1649478678 | Erin Lee King | Obstetrics & Gynecology | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2007-07-11 |
| 1235354143 | Seasons Healthcare for Women | Obstetrics & Gynecology | 10004 Kennerly Rd, Suite 395b, Saint Louis, MO 63128-2141 | 2007-04-16 |
| 1578613915 | Catherine Elizabeth Roane-blaker | Obstetrics & Gynecology | 11125 Dunn Rd Ste 406, Saint Louis, MO 63136 | 2007-01-10 |
| 1467549329 | Josiah O Ekunno | Obstetrics & Gynecology | 11125 Dunn Road, Suite 202, Saint Louis, MO 63136 | 2006-10-10 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on DR. TESSA E MADDEN.
| 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.