Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Victor Tedesco, DO

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1790951747

John Victor Tedesco, DO is a General Surgery in Tulsa, Oklahoma. Graduated from Philadelphia College of Osteopathic Medicine in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida and Oklahoma.

Years since qualifying
22
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
FL, OK
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11911 S Oxford Ave Ste 200
Tulsa, OK 74137-7778
Phone: (918) 984-5063
Fax: (918) 600-0690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 5170 (OK)
Surgery Physician Taxonomy 208600000X · Licence OS10091 (FL)

Record details

NPI number1790951747
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 30, 2008
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address11911 S Oxford Ave Ste 200, Tulsa, OK 74137-7778

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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