NPIMap

Individual provider Active NPI

Theresa A. Dyar, D.O.

  • Family Medicine Physician
  • Lancaster, OH
National Provider Identifier
1043404932
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.009958 Issued in OH
Practice address
2405 N Columbus St Ste 200
Lancaster, OH 43130-8186
Phone
(740) 689-3627
Fax
(740) 687-5898
NPI assigned
Sep 4, 2007
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.009958 OH Primary

Addresses

Primary practice location

2405 N Columbus St Ste 200
Lancaster, OH 43130-8186

Mailing address

2405 N Columbus St Ste 200
Lancaster, OH 43130-8186
Phone (740) 689-3627

Other practice location 1

220 E Walnut St
Lancaster, OH 43130-4464
Phone (740) 277-6043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913001067 OH Practitioner - Family Practice 6608991708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arbor View Family Medicine Inc.Group PAC ID 1052214251, 3 clinicians

Practice addresses (Care Compare)

1941 W Fair Ave
Lancaster, OH 43130-9671
Phone (740) 689-3627

220 E Walnut St
Lancaster, OH 43130-4464
Phone 74027760431318

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.009958OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor View Family Medicine, Inc. CurrentSince Sep 1, 2010 Accepting new patients
Fairfield Community Health Center Past Accepting new patients
Fairfield Medical Center PastSince Oct 1, 2017 Accepting new patients

Locations

1941 W Fair Ave
Lancaster, OH 43130
Phone (740) 277-6050

2405 N Columbus St
Ste 200
Lancaster, OH 43130
Phone (740) 689-3627

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

Interoperability endpoints

  • Direct secure messaging: tdyar@avfm.ssdirect.aprima.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fairfield Medical CenterLancaster, OH, CCN 360072 Hospital Corporate Director Oct 1, 2017
Primary Care New LexingtonNew Lexington, OH, CCN 363443 Rural health clinic Corporate Director Oct 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1043404932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N COLUMBUS ST STE 200",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308186",
            "telephone_number": "740-689-3627",
            "fax_number": "740-687-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 N COLUMBUS ST STE 200",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308186",
            "telephone_number": "740-689-3627",
            "fax_number": "740-687-5898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431304464",
            "country_code": "US",
            "telephone_number": "740-277-6043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYAR",
        "first_name": "THERESA",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.009958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.