Tess Taylor Wianecki (NPI# 1881112449, PAC ID# 3577824812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1881112449 |
| PAC ID by PECOS | 3577824812 |
| Professional Enrollment ID | I20180228002107 |
| Full Name | Tess Taylor Wianecki |
| Organization Legal Name | UROLOGY ASSOCIATES OF THE CENTRAL COAST |
| Address |
921 Oak Park Blvd Suite 202 Pismo Beach CA 93449-3400 |
| Phone Number | 8054737818 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4486750049 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 921 Oak Park Blvd, Suite 202, Pismo Beach, CA 93449-3400 | 8054737818 | UROLOGY ASSOCIATES OF THE CENTRAL COAST |
| 116 S Palisade Dr, Suite 110, Santa Maria, CA 93454-8905 | 8053497133 | UROLOGY ASSOCIATES OF THE CENTRAL COAST |
| Organization Legal Name | UROLOGY ASSOCIATES OF THE CENTRAL COAST |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel B Kieley | Urology | Urology Associates of The Central Coast | 1111 E Ocean Ave, Suite 3, Lompoc, CA 93436-2500 |
| Craig W Canfield | Urology | Urology Associates of The Central Coast | 35 Casa St, Suite 370, San Luis Obispo, CA 93405-5835 |
| Michael Anthony Avallone | Urology | Urology Associates of The Central Coast | 1111 E Ocean Ave, Suite 3, Lompoc, CA 93436-2500 |
| Joseph R Kuntze | Urology | Urology Associates of The Central Coast | 35 Casa St, Suite 370, San Luis Obispo, CA 93405-5835 |
| Paul W Klosterman | Urology | Urology Associates of The Central Coast | 35 Casa St, Suite 370, San Luis Obispo, CA 93405-5835 |
| Cort Darcy Thompson | Physician Assistant | Urology Associates of The Central Coast | 35 Casa St, Suite 370, San Luis Obispo, CA 93405-5835 |
| Carol A Karamitsos | Obstetrics/gynecology | Urology Associates of The Central Coast | 116 S Palisade Dr, Suite 110, Santa Maria, CA 93454-8905 |
| Christopher Warren Johnson | Urology | Urology Associates of The Central Coast | 35 Casa St, Suite 370, San Luis Obispo, CA 93405-5835 |
| Jennifer K Eckerman | Physician Assistant | Urology Associates of The Central Coast | 921 Oak Park Blvd, Suite 202, Pismo Beach, CA 93449-3400 |
| Hugh B Perkin | Urology | Urology Associates of The Central Coast | 35 Casa St, Suite 370, San Luis Obispo, CA 93405-5835 |
| Street Address |
921 OAK PARK BLVD SUITE 202 |
| City | PISMO BEACH |
| State | CA |
| Zip | 93449-3400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet Chen | Ophthalmology | Hayashi Medical Corporation | 921 Oak Park Blvd, 201b, Pismo Beach, CA 93449-3400 |
| Michael T Laird | Orthopedic Surgery | Central Coast Orthopedic Medical Group | 921 Oak Park Blvd, Suite 204, Pismo Beach, CA 93449-3400 |
| Terry Kaiura | Ophthalmology | Hayashi Medical Corporation | 921 Oak Park Blvd, 201b, Pismo Beach, CA 93449-3400 |
| Jennifer K Eckerman | Physician Assistant | Urology Associates of The Central Coast | 921 Oak Park Blvd, Suite 202, Pismo Beach, CA 93449-3400 |
| James C Kasper | Orthopedic Surgery | Central Coast Orthopedic Medical Group | 921 Oak Park Blvd, Suite 204, Pismo Beach, CA 93449-3400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Evans | Gastroenterology | Santa Maria Gastroenterology Medical Group Inc. | 931 Oat Park Blvd, Suite 101, Pismo Beach, CA 93449 |
| Igor J Nastaskin | Gastroenterology | Santa Maria Gastroenterology Medical Group Inc. | 931 Oat Park Blvd, Suite 101, Pismo Beach, CA 93449 |
| Max M Maude | Physician Assistant | Timothy H Jones Md Inc | 302 Vista Del Mar Ave, Shell Beach, CA 93449-1833 |
| Andrew Peterson | Chiropractic | 1251 Shell Beach Rd, Pismo Beach, CA 93449-1953 | |
| Wendy E Weiss | Family Medicine | 575 Price St, Suite 101, Pismo Beach, CA 93449-2553 | |
| Johnnie A Ham | Obstetrics/gynecology | 575 Price St, Suite 313, Pismo Beach, CA 93449-2553 | |
| Sarah A Cole | Nurse Practitioner | Coastal Prestige Medical Services, Inc | 575 Price St, Suite 313, Pismo Beach, CA 93449-2553 |
| Rand C Ritchie | Psychiatry | 354 Main St, Suite C, Pismo Beach, CA 93449-2581 | |
| Denise M Dritsas | Psychologist, Clinical | 310 James Way, Suite 150, Pismo Beach, CA 93449-2877 | |
| Ann Marie Donnelly | Psychologist, Clinical | 310 James Way, Suite 110, Pismo Beach, CA 93449-2877 | |
| Find all physicians in zip 93449 | |||
| City | PISMO BEACH |
| Zip Code | 93449 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PISMO BEACH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tess Taylor Wianecki.
| 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.