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TINSAE TEKLEAB
NPI 1780274456
Military Health Care Provider - Independent Duty Corpsman in Patuxent River, MD

Active since January 26, 2021
47149 BUSE RD BLDG 1370, PATUXENT RIVER, MD 20670(301) 342-1419 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 16, 2024, Jun 4, 2021, Jan 26, 2021 (3 updates tracked since 2021).

About Tinsae Tekleab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINSAE TEKLEAB (NPI 1780274456) is an individual independent duty corpsman provider in Patuxent River, Maryland and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1780274456
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameTINSAE TEKLEAB
Location Address47149 BUSE RD BLDG 1370Patuxent River, MD 20670-1540
Mailing Address47149 Buse Rd Bldg 1370Patuxent River, MD 20670-1540 · (301) 342-1419
Phone(301) 342-1419
Sole ProprietorNo
Enumeration DateJanuary 26, 2021
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1780274456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
47149 BUSE RD BLDG 1370, Patuxent River, MD 20670
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRISTOPHER DEMARCUS HAWKINS I.D.C.
Military Health Care Provider (Independent Duty Corpsman)
47149 BUSE RD BLDG 1370
PATUXENT RIVER, MD 20670
St. Mary's County (301) 342-1444
DR. SAQIB MUHAMMAD ISHTEEAQUE DMD
Dentist (General Practice)
47149 BUSE RD BLDG 1370, NAVAL HEALTH CLINIC PATUXENT RIVER
PATUXENT RIVER, MD 20670
St. Mary's County (301) 757-3698
BRYAN DOOLEY MD
General Practice
47149 BUSE RD BLDG 1370
PATUXENT RIVER, MD 20670
St. Mary's County (301) 757-7279
DR. BETHANY JEWELL GOD M.D.
Pediatrics
47149 BUSE RD BLDG 1370, MED HOME PORT, PEDIATRICS
PATUXENT RIVER, MD 20670
St. Mary's County (301) 342-1418
JENINE ELIZABETH MELKO O.D.
Optometrist
47149 BUSE RD BLDG 1370
PATUXENT RIVER, MD 20670
St. Mary's County (301) 342-1499
MRS. HEATHER DENISE HENDERSON
Social Worker (Clinical)
47149 BUSE RD BLDG 1370
PATUXENT RIVER, MD 20670
St. Mary's County (301) 995-3851
DR. ADAM M PRESTON OD, PHD
Optometrist
47149 BUSE RD BLDG 1370
PATUXENT RIVER, MD 20670
St. Mary's County (301) 342-1418
WILLIAM S PADGETT MD
Preventive Medicine (Aerospace Medicine)
47149 BUSE RD BLDG 1370
PATUXENT RIVER, MD 20670
St. Mary's County (301) 342-0029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tinsae Tekleab's NPI number?

The NPI number for Tinsae Tekleab is 1780274456. It was assigned to this individual provider in the NPPES registry on January 26, 2021.

Where is Tinsae Tekleab located?

Tinsae Tekleab practices at 47149 Buse Rd Bldg 1370, Patuxent River, MD 20670. The listed phone number is (301) 342-1419.

What is Tinsae Tekleab's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Tinsae Tekleab was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.