Dr TEWODROS D ADDISSE MD is a male medical professional, specializing in Hospitalist. He graduated in 1991.
COTTON ONEIL CLINIC REVOCABLE TRUST
1500 SW 10TH AVE
TOPEKA
KS
666041301
Tel: 7853546000
| Npi | 1366412751 |
| Pac Id | 2769465111 |
| Professional Enrollment Id | I20040608000991 |
| Last Name | ADDISSE |
| First Name | TEWODROS |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1991 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | COTTON ONEIL CLINIC REVOCABLE TRUST |
| Group Practice Pac Id | 5496659195 |
| Number Of Group Practice Members | 504 |
| Line 1 Street Address | 1500 SW 10TH AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | TOPEKA |
| State | KS |
| Zip Code | 666041301 |
| Phone Number | 7853546000 |
| Hospital Affiliation Ccn 1 | 170086 |
| Hospital Affiliation Lbn 1 | STORMONT VAIL HOSPITAL |
| Hospital Affiliation Ccn 2 | 170142 |
| Hospital Affiliation Lbn 2 | MERCY REGIONAL HEALTH CENTER |
| Hospital Affiliation Ccn 3 | 171384 |
| Hospital Affiliation Lbn 3 | NEWMAN REGIONAL HEALTH |
| Hospital Affiliation Ccn 4 | 170016 |
| Hospital Affiliation Lbn 4 | ST FRANCIS HEALTH CENTER |
| Hospital Affiliation Ccn 5 | 170074 |
| Hospital Affiliation Lbn 5 | GEARY COMMUNITY HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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