Provider Demographics
NPI:1093784068
Name:TESSMER AND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:TESSMER AND ASSOCIATES, INC.
Other - Org Name:BELTONE AUDIOLOGY AND HEARING CARE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:STIDD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:330-929-3312
Mailing Address - Street 1:421 GRAHAM RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-1344
Mailing Address - Country:US
Mailing Address - Phone:330-929-3312
Mailing Address - Fax:330-929-7634
Practice Address - Street 1:6265 PEARL RD
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3036
Practice Address - Country:US
Practice Address - Phone:330-929-3312
Practice Address - Fax:330-929-7634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA 01004237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0247174Medicaid
OH274609613005OtherMEDICAL MUTUAL
OH000000380864OtherANTHEM