William Charles Tessendorf, MA, ATC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

A0000067 Issued in MD

Practice address

450 Streaker Road
Sykesville, MD 21784-8654

Phone

(410) 552-1064

Fax

(410) 701-4103

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339286400000",
    "number": "1912004268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 STREAKER ROAD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217848654",
            "telephone_number": "410-552-1064",
            "fax_number": "410-701-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STREAKER ROAD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217848654",
            "telephone_number": "410-552-1064",
            "fax_number": "410-701-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSENDORF",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MA, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "MD",
            "license": "A0000067",
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "OH",
            "license": "AT000164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Specialist/Technologist in Sykesville, MD
• Providers in Sykesville, MD by specialty
• Other Specialist/Technologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2012; 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.