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KATHY JACKSON TEASDALL MD NPI 1962448704


NPI Information

NPI: 1962448704
Provider Name: KATHY JACKSON TEASDALL, MD
Classification: Otolaryngology - 207Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
755 HIGHLAND OAKS DR
STE 204
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 768-1037
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Kathy Jackson Teasdall, MD is an otolaryngology in Winston Salem, NC with 41 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Kathy Jackson Teasdall, MD NPI is 1962448704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

755 HIGHLAND OAKS DR
STE 204
WINSTON SALEM, NC
ZIP 27103-106
Phone: (336) 768-1037
Fax: (336) 768-9141

The NPI 1962448704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
  • Eardrum testing using ear probe (HCPCS:92567)
  • Diagnostic examination of ear and nose (HCPCS:92504)
  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)

The enumeration date for this NPI number is 6/21/2006 and was last updated on 6/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology9400157NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B66108MEDICARE UPIN
28982338MEDICAIDNORTH CAROLINA
32197517MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.