Provider Demographics
NPI:1316915473
Name:TESSMER AND ASSOCIATES, INC.
Entity type:Organization
Organization Name:TESSMER AND ASSOCIATES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:TESSMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-929-3312
Mailing Address - Street 1:4199 KINROSS LAKES PKWY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:RICHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44286-9010
Mailing Address - Country:US
Mailing Address - Phone:234-400-0201
Mailing Address - Fax:234-400-0199
Practice Address - Street 1:4199 KINROSS LAKES PKWY
Practice Address - Street 2:SUITE 220
Practice Address - City:RICHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44286-9010
Practice Address - Country:US
Practice Address - Phone:234-400-0201
Practice Address - Fax:234-400-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01030237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0247174Medicaid