Active NPI
James Richard Tesch Jr., DNP, CRNA
- Certified Registered Nurse Anesthetist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6719
- Practice address
- 3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013 - Phone
- (704) 437-7337
- NPI assigned
- Mar 21, 2019
- Last updated
- Jun 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 6719 | NC | Primary |
Addresses
Primary practice location
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Mailing address
1629 Village Squire Cir
Knightdale, NC 27545-5953
Phone (704) 437-7337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1375 N 10TH Ave
Suite B
Stayton, OR 97383-2099
Phone (503) 769-7546
1401 N 10TH Ave
Stayton, OR 97383-1311
Phone (503) 769-2175
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6719 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santiam Memorial Hospital | Current | Accepting new patients | |
| Santiam Memorial Hospital | Current | Accepting new patients | |
| Santiam Memorial Hospital | Current | Accepting new patients |
Locations
1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546
1401 N 10th Ave
Stayton, OR 97383
Phone (503) 769-2175
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Stayton, OR
- NPI 1154302214
-
dba Santiam Health & Wellness Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stayton, OR
- NPI 1801787171
-
dba Santiam Podiatry Clinic
- Podiatric Clinic/Center
- Stayton, OR
- NPI 1912413147
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stayton, OR
- NPI 1154302214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1831659325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 VILLAGE SQUIRE CIR",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275455953",
"telephone_number": "704-437-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 SILAS CREEK PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033013",
"telephone_number": "704-437-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESCH",
"first_name": "JAMES",
"middle_name": "RICHARD",
"name_suffix": "Jr.",
"credential": "DNP, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-21",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "6719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.