Individual provider Active NPI

Eric D Teeman, DPM

  • Podiatrist
  • Lutz, FL
National Provider Identifier
1063462745
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P02630 Issued in FL
Practice address
19802 Wellington Manor Blvd
Lutz, FL 33549-5012
Phone
(813) 948-3991
Fax
(813) 948-0500
NPI assigned
May 11, 2006
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P02630 FL Primary

Addresses

Primary practice location

19802 Wellington Manor Blvd
Lutz, FL 33549-5012

Mailing address

PO Box 341873
Tampa, FL 33694-1873
Phone (813) 210-3338

Other identifiers 1

IdentifierTypeStateIssuer
390410500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000745 FL Practitioner - Podiatry 4688569882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19802 Wellington Manor Blvd
Lutz, FL 33549-5012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue667
Removal or shaving of skin growth649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P02630FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric D Teeman, DPM, PA CurrentSince Apr 18, 2016 Accepting new patients
All Florida Podiatry PA Podiatrist PastSince Feb 18, 2003 Accepting new patients
Louisville Emergency Medicine Associates PSC Past Accepting new patients
All Florida Podiatry, P.a. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1063462745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341873",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336941873",
            "telephone_number": "813-210-3338",
            "fax_number": "813-948-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19802 WELLINGTON MANOR BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495012",
            "telephone_number": "813-948-3991",
            "fax_number": "813-948-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEMAN",
        "first_name": "ERIC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P02630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390410500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.