MEDICARE: DR. TESSA GARDNER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0208X	Pediatric Infectious Diseases Physician	R8414	MO

General Provider Information

NPI Number	:	1487781597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TESSA GARDNER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 300009
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-0340
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7905 BLACKBERRY AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-2710
Country	:	US
Telephone Number	:	314-727-9101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	01/08/2014

Similar Medicare Providers

1750378584 — HERITAGE CARE CENTER OF BERKELEY, LLC
Practice Location Address:

4401 N HANLEY RD
SAINT LOUIS, MO
63134-2710

Practice Phone: 314-521-7471
Practice Fax: 314-521-4845

1609137207 — CANDACE DELAP
Practice Location Address:

4401 N HANLEY RD
SAINT LOUIS, MO
63134-2710

Practice Phone: 314-521-7471
Practice Fax:

1689063638 — DR. HILLEL GOLDSTEIN PSYD, LPC
Practice Location Address:

7850 MANCHESTER RD
SAINT LOUIS, MO
63143-2710

Practice Phone: 314-645-7230
Practice Fax: 844-527-4893

1407243629 — MS. CASSIE N SMITH FNP-BC
Practice Location Address:

425 S EUCLID AVE STE 2710
SAINT LOUIS, MO
63110-1005

Practice Phone: 314-273-4850
Practice Fax:

1184266314 — THE BRAIN INJURY FOUNDATION OF ST. LOUIS
Practice Location Address:

7850 MANCHESTER RD
SAINT LOUIS, MO
63143-2710

Practice Phone: 314-645-7230
Practice Fax: 844-527-4893

1003819624 — FELIPE COSCOLLUELA JAVIER III MD
Practice Location Address:

2710 SAINT FRANCIS DR STE 411
WATERLOO, IA
50702-5634

Practice Phone: 319-272-5000
Practice Fax: 319-272-5825

Directions to “ DR. TESSA GARDNER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.