Thomas Gerald Disessa
MD | Pediatric Cardiology | Male
Thomas Gerald Disessa, MD is a Lexington, Kentucky based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Thomas Gerald Disessa is
3945 Peppertree Dr, Lexington, Kentucky - 40513-1398. He can be contacted on phone at
859-219-8632.
Thomas Gerald Disessa is a sole proprietor of his business.
NPI number (Unique professional ID) for Thomas Gerald Disessa is
1780604462 which was assigned by NPPES on 19 Jul, 2006 and it was last updated on 02 Sep, 2015.
Thomas Gerald Disessa license number is
38090 for Pediatrics Pediatric Cardiology (2080P0202X) in Kentucky.
Thomas Gerald Disessa provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Thomas Gerald Disessa basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Thomas Gerald Disessa |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Thomas Gerald Disessa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3945 Peppertree Dr
Lexington, KY, 40513-1398
United States |
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| Phone Number : | 859-219-8632 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780604462 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jul, 2006 |
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| Last Updated On : | 02 Sep, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas Gerald Disessa are as mentioned. Primary taxonomy code for Thomas Gerald Disessa, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 38090 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Thomas Gerald Disessa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 64920507 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3945 Peppertree Dr
Lexington, KY, 40513-1398
United States |
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| Phone Number : | 859-219-8632 |
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Business Location:
Patients can refer following map for directions to
Thomas Gerald Disessa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.