Individual provider Active NPI

Michael Paul Tesson, PHARM D.

  • Pharmacist
  • Stuart, FL
National Provider Identifier
1154517654
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS40254 Issued in FL
Practice address
300 SE Hospital Ave
Stuart, FL 34994-2338
Phone
(772) 223-5945
Fax
(772) 221-2064
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS40254 FL Primary

Addresses

Primary practice location

300 SE Hospital Ave
Stuart, FL 34994-2338

Mailing address

300 SE Hospital Ave
Stuart, FL 34994-2338
Phone (772) 223-5945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS40254FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Physician Corporation, Inc Current Accepting new patients
Martin Memorial Physician Corporation Inc Current Accepting new patients

Locations

300 SE Hospital Ave
Stuart, FL 34994
Phone (772) 220-1391

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1154517654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SE HOSPITAL AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942338",
            "telephone_number": "772-223-5945",
            "fax_number": "772-221-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE HOSPITAL AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942338",
            "telephone_number": "772-223-5945",
            "fax_number": "772-221-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSON",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS40254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.