Richard Clay Tessmer, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1285 Issued in OK

Practice address

10 South Treaty Road
Miami, OK 74354

Phone

(918) 542-6644

NPI assigned

Jan 6, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Baptist Healthcare of Oklahoma

  • Emergency Medicine Physician
  • Grove, OK
  • NPI 1316915564
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1427036698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 NORTH FOREMAN",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "74301",
            "telephone_number": "918-256-0193",
            "fax_number": "918-256-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SOUTH TREATY ROAD",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "74354",
            "telephone_number": "918-542-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSMER",
        "first_name": "RICHARD",
        "middle_name": "CLAY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1285",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20026230B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose M Surratt-Taylor, BS
• Sheila Marie Swenson
• Cynthia Taffner, B.S.W.
• Kari Dawn Tanner, MOTR/L
• Melanie Terneus
• Crystal Themm
• Amanda I Thornton
• Kaiya Todd
• Tamra Dawn Tollefson, LPC-S
• Melissa K. Torchia

• Physician Assistant in Miami, OK
• Providers in Miami, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.