Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILLIAM TEDJO DO
NPI 1972207371
Neuromusculoskeletal Medicine & OMM in Jonesboro, AR

Q: What is William Tedjo's NPI number?

The NPI number for William Tedjo is 1972207371. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is William Tedjo's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: When was this NPI record last updated?

The NPPES record for William Tedjo was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

Active since March 29, 2023

333B RED WOLF BLVD, JONESBORO, AR 72405(870) 972-2054 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2026, Mar 29, 2023 (2 updates tracked since 2023).

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About William Tedjo Do NPPES

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

WILLIAM TEDJO DO (NPI 1972207371) is an individual neuromusculoskeletal medicine & omm provider in Jonesboro, Arkansas, licensed in Arkansas (E-20912) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1972207371

Entity TypeIndividualMale

Primary Taxonomy204D00000X

Provider Legal NameWILLIAM TEDJOCredential: DO

Location Address333B RED WOLF BLVDJonesboro, AR 72405-9739

Mailing Address333b Red Wolf BlvdJonesboro, AR 72405-9739 · (870) 972-2054

Phone(870) 972-2054

Sole ProprietorNo

Enumeration DateMarch 29, 2023

Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1972207371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in AR · E-20912

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

333B RED WOLF BLVD, Jonesboro, AR 72405

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Other Providers at the Same Location NPPES 4

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

RENITA ALEXANDER

Student in an Organized Health Care Education/Training Program

333B RED WOLF BLVD
JONESBORO, AR 72405

Craighead County (870) 972-2054

KATELIN PACELLA

Student in an Organized Health Care Education/Training Program

333B RED WOLF BLVD
JONESBORO, AR 72405

Craighead County (870) 972-2054

DR. DOSHA FRANCES CUMMINS

Clinical Pharmacology

333B RED WOLF BLVD
JONESBORO, AR 72405

Craighead County (870) 680-8809

NEW YORK INSTITUTE OF TECHNOLOGY

Family Medicine

333B RED WOLF BLVD
JONESBORO, AR 72405

Craighead County (870) 972-2054

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 William Tedjo's NPI number?

The NPI number for William Tedjo is 1972207371. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is William Tedjo located?

William Tedjo practices at 333B Red Wolf Blvd, Jonesboro, AR 72405. The listed phone number is (870) 972-2054.

What is William Tedjo's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

When was this NPI record last updated?

The NPPES record for William Tedjo was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.