Brian A Tessaro (NPI# 1043693724, PAC ID# 9638416654) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1043693724 |
| PAC ID by PECOS | 9638416654 |
| Professional Enrollment ID | I20190627001162 |
| Full Name | Brian A Tessaro |
| Organization Legal Name | MERCY CLINIC JOPLIN LLC |
| Address |
100 Mercy Way Mercy Clinic Joplin Emergency Medic Joplin MO 64804-4524 |
| Phone Number | 4175562300 |
| Gender | M |
| Medical School | WILLIAM CAREY UNIV COL OF OSTEOPATHIC MEDICINE, HATTIESBURG MS |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0547300196 |
| Number of Group Practice Members | 222 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260001 | MERCY HOSPITAL JOPLIN |
| Address | Phone | Organization |
|---|---|---|
| 100 Mercy Way, Mercy Clinic Joplin Emergency Medic, Joplin, MO 64804-4524 | 4175562300 | MERCY CLINIC JOPLIN LLC |
| Organization Legal Name | MERCY CLINIC JOPLIN LLC |
| Physicians | 206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha L Mcfarland | Nurse Practitioner | Mercy Clinic Joplin LLC | 1717 S Range Line Rd B, Mc Family Medicine Rangeline, Joplin, MO 64804-3224 |
| Ezinnaya Ubagharaji | Internal Medicine | Mercy Clinic Joplin LLC | 202 E 50th St, Mc Internal Medicine 50th Street, Joplin, MO 64804-4527 |
| Justin J Dillingham | Family Medicine | Mercy Clinic Joplin LLC | 3126 S Jackson Ave, 200 Mc Lab and Imaging Services S Jackson, Joplin, MO 64804-2500 |
| Patricia C. Ridings | Nurse Practitioner | Mercy Clinic Joplin LLC | 805 Barker Dr, Oswego, KS 67356-9034 |
| Thad L Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 100 Mercy Way, Mercy Clinic Joplin Emergency Medic, Joplin, MO 64804-4524 |
| Benjamen H Williams | Family Medicine | Mercy Clinic Joplin LLC | 220 N Pennsylvania Ave, Mc Heart Care Columbus, Columbus, KS 66725-1110 |
| Crystal M Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 111 E 7th St, Galena, KS 66739-1229 |
| Patrick J. Stangeby | Psychiatry | Mercy Clinic Joplin LLC | 5615 W 32nd St, St Johns Clinic Joplin Psychiatry, Joplin, MO 64804-8161 |
| Trina M Larery | Nurse Practitioner | Mercy Clinic Joplin LLC | 1300 E Centennial Dr, Via Christi Mercy Clinic LLC, Pittsburg, KS 66762-6650 |
| Johnny L Venter | Pulmonary Disease | Mercy Clinic Joplin LLC | 115 W 12th St, Lamar, MO 64759-1756 |
| Street Address |
100 MERCY WAY MERCY CLINIC JOPLIN EMERGENCY MEDIC |
| City | JOPLIN |
| State | MO |
| Zip | 64804-4524 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thad L Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 100 Mercy Way, Mercy Clinic Joplin Emergency Medic, Joplin, MO 64804-4524 |
| Johat Aponte | Internal Medicine | Mercy Clinic Joplin LLC | 100 Mercy Way, Mercy Clinic Joplin Hospitalists, Joplin, MO 64804-4524 |
| Olkanmi J Deleawe | Hospitalist | Mercy Clinic Joplin LLC | 100 Mercy Way, Mercy Clinic Joplin Hospitalists, Joplin, MO 64804-4524 |
| Terry W Miller | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Missouri LLC | 100 Mercy Way, Joplin, MO 64804-4524 |
| Augustus L Caine Jr. | Cardiovascular Disease (cardiology) | Mercy Clinic Joplin LLC | 100 Mercy Way, 330 Mercy Clinic Joplin Cardiology, Joplin, MO 64804-4524 |
| Jill L Feurt | Nurse Practitioner | Mercy Clinic Joplin LLC | 100 Mercy Way, 510 Women's Health, Joplin, MO 64804-4524 |
| Peter Paul Kobilsek | Anesthesiology | Northstar Anesthesia of Missouri LLC | 100 Mercy Way, Joplin, MO 64804-4524 |
| Andra J Fontaine | Nurse Practitioner | Mercy Clinic Joplin LLC | 100 Mercy Way, Oncology and Hematology Joplin, Joplin, MO 64804-4524 |
| Maegan Elise Burr | Nurse Practitioner | Mercy Clinic Joplin LLC | 100 Mercy Way, 530 Mercy Clinic Joplin Urology, Joplin, MO 64804-4524 |
| Amy Carol Gibson Bebee | Nurse Practitioner | Radiation Oncology Associates, Inc. | 100 Mercy Way, Joplin, MO 64804-4524 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Whisman | Psychologist, Clinical | 3405 S Hammons Blvd, Kevin M Whisman Psyd, Joplin, MO 64804 | |
| Matthew Richins | Podiatry | 2024 S Maiden Ln, Suite 201, Joplin, MO 64804-0319 | |
| Samuel R Carter | Internal Medicine | 2024 S Maiden Ln, Suite 203, Joplin, MO 64804-0319 | |
| Valerie J Fleming | Nurse Practitioner | 2024 S Maiden Ln, Joplin, MO 64804-0319 | |
| Kathleen Lacey | Psychologist, Clinical | 1730 S Jackson Ave, Joplin, MO 64804-0555 | |
| Kim Wright | Clinical Social Worker | Renewed Mental Health LLC | 1530 S Main St, Joplin, MO 64804-0750 |
| Kimberly A Wood | Internal Medicine | 2615 E 20th St, Joplin, MO 64804-1039 | |
| Laurie L Behm | Physical Medicine and Rehabilitation | Freeman-oak Hill Health System | 1905 W 32nd St, Suite 403, Joplin, MO 64804-1501 |
| Daniel R Osborn | Ophthalmology | Missouri Eye Institute of Joplin LLC | 1905 W 32nd St, Suite 301, Joplin, MO 64804-1512 |
| Chad L Carter | Optometry | Missouri Eye Institute of Joplin LLC | 1905 W 32nd St, Suite 301, Joplin, MO 64804-1512 |
| Find all physicians in zip 64804 | |||
| City | JOPLIN |
| Zip Code | 64804 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | JOPLIN + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Brian A Tessaro.
| 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.