DUSTIN SHAWN TEDESCO (NPI# 1649476136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649476136 |
| Entity Type | Individual |
| Full Name | DUSTIN SHAWN TEDESCO |
| Credential | MD |
| Practice Address |
1553 N Porter Ave Norman OK 73071-6621 |
| Practice Telephone | 4052178500 |
| Mailing Telephone | 4052178500 |
| Mailing Fax Number | 4052178501 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25729 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1553 N PORTER AVE |
| City | NORMAN |
| State | OK |
| Zip Code | 73071-6621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679554737 | Oswald Llanderosos | Internal Medicine | 1553 N Porter Ave, Norman, OK 73071-6621 | 2005-11-07 |
| 1063822633 | Dustin Shaun Tedesco Pllc | Internal Medicine | 1553 N Porter Ave, Norman, OK 73071-6621 | 2014-05-05 |
| 1891134250 | Cuong Dinh Nguyen, Md PC | Clinic/Center | 1553 N Porter Ave, Norman, OK 73071-6621 | 2013-06-19 |
| 1902016132 | Delia Cristina Sarale | Medical Genetics | 1553 N Porter Ave, Norman, OK 73071-6621 | 2007-05-23 |
| 1659497451 | Cuong Dinh Nguyen | Internal Medicine | 1553 N Porter Ave, Norman, OK 73071-6621 | 2007-03-22 |
| 1922136472 | Osvaldo Llan De Rosos Md Inc | Internal Medicine | 1553 N Porter Ave, Norman, OK 73071-6621 | 2007-02-28 |
| 1720091663 | David C Williams Md PC | Internal Medicine | 1553 N Porter Ave, Norman, OK 73071-6621 | 2006-08-14 |
| 1518991264 | David Collier Williams | Internal Medicine | 1553 N Porter Ave, Norman, OK 73071-6621 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
| 1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
| 1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| Find all providers in zip 73071 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518251735 | Christopher Parker | Internal Medicine | 701 E Robinson St Ste 105, Norman, OK 73071-6625 | 2011-06-06 |
| 1346381969 | Joshua D Whorton | Internal Medicine | 1515 N Porter, Suite 200, Norman, OK 73071-6649 | 2007-02-08 |
| 1487632519 | Roy C. Mullins IIi | Internal Medicine | 901 N. Porter, Norman, OK 73071 | 2006-01-09 |
| 1336121573 | Joe D Riddle | Internal Medicine | 900 N Porter Ave, Suite 310, Norman, OK 73071-6424 | 2005-11-15 |
| 1073595310 | James Love | Internal Medicine | 500 E Robinson St Ste 2400, Norman, OK 73071-6684 | 2005-11-14 |
| 1902888274 | Gary D Ratliff | Internal Medicine | 500 E Robinson St Ste 2600, Norman, OK 73071-6678 | 2005-11-14 |
| 1649266297 | Sergio G. Garcia | Internal Medicine | 701 E Robinson St, Suite 105, Norman, OK 73071-6652 | 2005-09-20 |
| 1396737789 | Mudassir Nawaz | Internal Medicine | 500 E Robinson St Ste 800, Norman, OK 73071-6681 | 2005-08-22 |
| 1699196840 | Mudassir Nawaz Mdpc | Internal Medicine | 500 E Robinson St, Suite 800, Norman, OK 73071-6697 | 2013-12-13 |
| 1629414966 | Joseph West | Internal Medicine | 901 N Porter Ave, Norman, OK 73071-6404 | 2013-05-14 |
| Find all providers in NORMAN | ||||
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| 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.