Daniel A Teska, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1789-023 Issued in WI

Practice address

3805B Spring Street
Suite 230
Racine, WI 53405-1640

Phone

(262) 687-4479

Fax

(262) 687-5375

NPI assigned

Aug 24, 2006

Last updated

Mar 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Arizona Acute Medical Services 1 PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1154860674
  Medicare reassignment
• Emergency Group of Arizona Professional Corporation

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1215275433
  Medicare reassignment
• Racine Emergency Physicians, S.C.

  • Emergency Medicine Physician
  • Racine, WI
  • NPI 1184654121
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1417064528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 N SUNNYSLOPE DRIVE",
            "address_2": "UNIT 205",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063486",
            "telephone_number": "262-497-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805B SPRING STREET",
            "address_2": "SUITE 230",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534051640",
            "telephone_number": "262-687-4479",
            "fax_number": "262-687-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESKA",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8058",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1789-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41995700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah D. Tate, OTR
• John Tate II, APSW
• Darren L Taylor, CSAC
• James H Taylor, MD
• Tereo Narcotic Treatment Center, LLC
• The Littlest Flowers LLC
• The Manna House Adult Family Home (The Manna House)
• The W.I.N.G.S Adult Family Home LLC (The WINGS AFH)
• The Young Men's Christian Association of Racine, Wisconsin
• Therapies for the Ultimate Human Body & Natural Hair Barbery

• Physician Assistant in Racine, WI
• Providers in Racine, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.