Teresa Ann Oberbroeckling, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105405 Issued in FL

Practice address

300 S Hyde Park Ave Ste 210
Tampa, FL 33606-4125

Phone

(937) 609-1798

Fax

(813) 402-2956

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa Ann Kesling Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• HRC Medical - Tampa, LLC

  • Medical Specialty Clinic/Center
  • Tampa, FL
  • NPI 1245532886
  NPD (past)
• Infinity Medical Institute, LLC

  • Exclusive Provider Organization
  • Tampa, FL
  • NPI 1962879866
  NPD (past)
• Ohio Neurosurgical Institute Inc

  • Neurological Surgery Physician
  • Dayton, OH
  • NPI 1700819547
  NPD (past)
• West Central Emergency Physicians

  • Emergency Medicine Physician
  • Troy, OH
  • NPI 1578558417
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1285654954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HYDE PARK AVE STE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336064125",
            "telephone_number": "937-609-1798",
            "fax_number": "813-402-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HYDE PARK AVE STE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336064125",
            "telephone_number": "937-609-1798",
            "fax_number": "813-402-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERBROECKLING",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "KESLING",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Obeck Comprehensive Dental
• John M Obeck, DDS
• Laura Coral Oben Perez, MD
• Blanca Oben-Perez, SLP
• Lieselot Ober, MS, OTR/L
• Ritika Oberoi-Jassal, MD
• Hilda Obi-Anadiume
• Victor C Obi-Anadiume, DPT
• Victor E Obianadiume, RPH
• Sarah Gloria Obican, MD

• Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.