Dustin S Tedesco (NPI# 1649476136, PAC ID# 7416104708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1649476136 |
| PAC ID by PECOS | 7416104708 |
| Professional Enrollment ID | I20120821000672 |
| Full Name | Dustin S Tedesco |
| Organization Legal Name | NORMAN REGIONAL PROVIDERS-SPECIALTY CARE |
| Address |
1553 N Porter Ave Norman OK 73071-6621 |
| Phone Number | 4052178500 |
| Gender | M |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 5496900706 |
| Number of Group Practice Members | 111 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370008 | NORMAN REGIONAL |
| 370054 | GRADY MEMORIAL HOSPITAL |
| 371328 | ARBUCKLE MEMORIAL HOSPITAL |
| 370013 | MERCY HOSPITAL OKLAHOMA CITY, INC |
| 370158 | PURCELL MUNICIPAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1553 N Porter Ave, Norman, OK 73071-6621 | 4052178500 | NORMAN REGIONAL PROVIDERS-SPECIALTY CARE |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 97% |
| Organization Legal Name | NORMAN REGIONAL PROVIDERS-SPECIALTY CARE |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabrina C Young | Physical Medicine and Rehabilitation | Norman Regional Providers-specialty Care | 901 N Porter Ave Rehab Floor, Nrhs Neurology Assoc Rehab Center, Norman, OK 73071-6404 |
| Shari A H Jones | Hematology/oncology | Norman Regional Providers-specialty Care | 901 N Porter Ave Norman Regional Oncology Ctr, Nrhs Surgery Associates, Norman, OK 73071-6404 |
| Taylor M Stewart | Qualified Speech Language Pathologist | Norman Regional Providers-specialty Care | 724 24th Ave Nw, 100 Nrhs Physical Performance Center, Norman, OK 73069-6214 |
| Mohammad Azam Farukhi | General Surgery | Norman Regional Providers-specialty Care | 3400 W Tecumseh Road, 105 Nrhs Surgery Associates, Norman, OK 73071 |
| Alexis Stinnett | Nurse Practitioner | Norman Regional Providers-specialty Care | 650 24th Ave Sw, 110 Oklahoma Sleep Associates, Norman, OK 73069-3913 |
| John L Cherry | Obstetrics/gynecology | Norman Regional Providers-specialty Care | 500 E Robinson Street, 2300 Nrhs Surgery Associates, Norman, OK 73071-6671 |
| David C Williams | Nephrology | Norman Regional Providers-specialty Care | 1553 N Porter Ave, Norman, OK 73071-6621 |
| Aaron L Boyd | Critical Care (intensivists) | Norman Regional Providers-specialty Care | 901 N Porter Ave, Physical Rehab Cente, Norman, OK 73071-6404 |
| John B Chace | General Surgery | Norman Regional Providers-specialty Care | 1125 N Porter Ave, Norman, OK 73071-6443 |
| Katherine Hays | Cardiovascular Disease (cardiology) | Norman Regional Providers-specialty Care | 901 N Porter Ave, Physical Rehab Cente, Norman, OK 73071-6404 |
| Street Address |
1553 N PORTER AVE |
| City | NORMAN |
| State | OK |
| Zip | 73071-6621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David C Williams | Nephrology | Norman Regional Providers-specialty Care | 1553 N Porter Ave, Norman, OK 73071-6621 |
| Cuong D Nguyen | Nephrology | Norman Regional Providers-specialty Care | 1553 N Porter Ave, Norman, OK 73071-6621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Azam Farukhi | General Surgery | Norman Regional Providers-specialty Care | 3400 W Tecumseh Road, 105 Nrhs Surgery Associates, Norman, OK 73071 |
| Rebecca A Eagle | Pulmonary Disease | 901 N Porter, Norman, OK 73071-1308 | |
| Mindi Dawn Combs | Optometry | Dr Mindi Combs Pllc | 1220 E Robinson St, Norman, OK 73071-3602 |
| Linda Lea Ann Ray | Optometry | Dr Mindi Combs Pllc | 1220 E Robinson St, Norman, OK 73071-3602 |
| Arthur K Young | Optometry | Arthur Kevin Young Eyecare Center Inc. | 1220 E Robinson St, Norman, OK 73071-3602 |
| Kathryn A Hall | General Practice | Classen Family Practice LLC | 2824 Classen Blvd, Suite 100, Norman, OK 73071-4059 |
| Grover L Compton | Physician Assistant | Classen Urgent Care Clinic LLC | 2818 Classen Blvd, Norman, OK 73071-4059 |
| Rosa J Rios | Physician Assistant | Classen Urgent Care Clinic LLC | 2818 Classen Blvd, Norman, OK 73071-4059 |
| Lisa D West | Physician Assistant | Classen Urgent Care Clinic LLC | 2818 Classen Blvd, Norman, OK 73071-4059 |
| Erica L Davis | Physician Assistant | Classen Urgent Care Clinic LLC | 2818 Classen Blvd, Norman, OK 73071-4059 |
| Find all physicians in zip 73071 | |||
| City | NORMAN |
| Zip Code | 73071 |
| Specialty | NEPHROLOGY |
| City + Specialty | NORMAN + NEPHROLOGY |
Please comment or provide details below to improve the information on Dustin S Tedesco.
| 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.