Tesmer ENT PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

TESMER ENT PC

Practice address

4200 Pioneer Woods Dr Ste C
Lincoln, NE 68506-7563

Phone

(402) 489-4418

NPI assigned

Aug 30, 2021

Last updated

Aug 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Mertz

Title

Credentialing

Phone

(402) 261-9530

Specialties & licenses 1

Addresses

Other names 1

• Tesmer ENT PC Other name

Locations

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1326716010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 PIONEER WOODS DR STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PIONEER WOODS DR STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067563",
            "telephone_number": "402-489-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESMER ENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "MERTZ",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "402-261-9530"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tesmer ENT PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dawn Elizabeth Terry
• Mallorie Terry
• Lori S. Terryberry-Spohr, PH.D.
• Marcia J Teruel
• Katharine Terwilleger
• Roxie R Tesmer, PT
• Timothy A Tesmer, MD
• Abrianna Helen Tessalee
• Shelby J Tessendorf, DDS
• Todd Jason Tessendorf, M.D.

• Otolaryngology Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Otolaryngology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.