J Michael Tedesco, D.O.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

OS003900L Issued in PA

Practice address

743 Jefferson Ave
Suite 206
Scranton, PA 18510-1635

Phone

(570) 341-9818

Fax

(570) 341-9950

NPI assigned

May 6, 2006

Last updated

Mar 7, 2023By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: j.michael.tedesco.1@21771.direct.athenahealth.com

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.

• Women's Wellness Center, P.C.

  • Obstetrics & Gynecology Physician
  • Scranton, PA
  • NPI 1073570859
  Authorized official Same address or phone
• Wilkes-Barre Behavioral Hospital Company LLC

  dba General Community Pharmacy

  • Long Term Care Pharmacy
  • Kingston, PA
  • NPI 1629050620
  NPD (past)
• Wilkes-Barre Clinic Company LLC

  • Surgery Physician
  • Wilkes Barre, PA
  • NPI 1144533670
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497704787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE",
            "address_2": "SUITE 206",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101635",
            "telephone_number": "570-341-9818",
            "fax_number": "570-341-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "J",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2023-03-07",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PA",
            "license": "OS003900L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "j.michael.tedesco.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "743 Jefferson Ave",
            "address_2": "SUITE 206",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185101635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Maureen Taylor, M.S., CCC-SLP
• Jeffrey S. Taylor, M.D.
• Kathleen Taylor, COMMUNICATION SPEC
• Randy Taylor
• Stephanie Nicole Taylor, BCBA, LBS
• Patrick Teehan, PA-C
• Anagha Teggihal, M.D.
• Telespond Senior Services, Inc.
• Jane Megan Temperino, MS
• Emily Temple, RN

• Obstetrics Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Obstetrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.