Individual provider Active NPI

Don S Tessmann, MD

  • Psychiatry Physician
  • Martinsville, VA
National Provider Identifier
1417924184
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101043297 Issued in VA
Practice address
24 Clay Street
Martinsville, VA 24112
Phone
(276) 632-7128
Fax
(276) 632-0127
NPI assigned
Mar 2, 2006
Last updated
Jun 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101043297 VA Primary

Addresses

Primary practice location

24 Clay Street
Martinsville, VA 24112

Mailing address

24 Clay Street
Martinsville, VA 24112
Phone (276) 632-7128

Other identifiers 4

IdentifierTypeStateIssuer
004945085MedicaidVA
O87530OtherVASENTARA BEHAVIORAL HEALTH
240195OtherVAANTHEM
004945221MedicaidVA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101043297VAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1417924184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CLAY STREET",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "24112",
            "telephone_number": "276-632-7128",
            "fax_number": "276-632-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CLAY STREET",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "24112",
            "telephone_number": "276-632-7128",
            "fax_number": "276-632-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSMANN",
        "first_name": "DON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101043297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945085",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA BEHAVIORAL HEALTH",
            "identifier": "O87530",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "240195",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945221",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.