Timothy W Teslow, M.D., P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

3579 Issued in AK

Legal business name

TIMOTHY W TESLOW, M.D., P.C.

Practice address

1275 Sadler Way
Suite 102
Fairbanks, AK 99701-3175

Phone

(907) 457-7874

Fax

(907) 457-7060

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Timothy W Teslow, M.D.NPI 1841321890

Title

President

Phone

(907) 457-7874

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Walter Teslow, MD

  • Surgery Physician
  • Fairbanks, AK
  • NPI 1841321890
  Medicare reassignment Care Compare group NPD Authorized official
• Debra Denise Allen, FNP-C

  • Family Nurse Practitioner
  • Fairbanks, AK
  • NPI 1184885246
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1932316296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SADLER WAY",
            "address_2": "SUITE 102",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013175",
            "telephone_number": "907-457-7874",
            "fax_number": "907-457-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SADLER WAY",
            "address_2": "SUITE 102",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013175",
            "telephone_number": "907-457-7874",
            "fax_number": "907-457-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY W TESLOW, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "TESLOW",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-457-7874",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AK",
            "license": "3579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin R Tilly, RMT, LMT
• Tiffany Rae Timm, PTA
• Caroline Elizabeth Timmerman, MD
• Sean Michael Timmons, PA-C
• Timothy J Woller D.D.S. PC
• Chanika Tirogene
• Charlie Titus
• Cristina Titus
• Jay Titus
• Kady Dale Titus

• Surgery Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.