Ted M. Lum, M.D. Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35050266 Issued in OH

Legal business name

TED M. LUM, M.D. INC

Practice address

2825 Burnet Ave
Suite 208
Cincinnati, OH 45219-2426

Phone

(513) 221-6300

Fax

(513) 221-6302

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ted Michael Lum, M.D,

Title

President

Phone

(513) 221-6300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1104091149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 BURNET AVE",
            "address_2": "SUITE 208",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192426",
            "telephone_number": "513-221-6300",
            "fax_number": "513-221-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 BURNET AVE",
            "address_2": "SUITE 208",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192426",
            "telephone_number": "513-221-6300",
            "fax_number": "513-221-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED M. LUM, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-221-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35050266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Teal
• Team Behavioral Health
• Braden Teater
• Michael Lee Tebbe, MSW
• Tech Time Cincinnati
• Kristina A Tedesco, M.ED., LPCC-S
• Maria Tedesco
• Paige Ann Tedesco, RPH
• Anne Tedford
• William Leslie Tedford, M.D.

• Specialist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.