Active NPI
Terresa Louise Hawthorne, MD
- Family Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3504789OH
- Practice address
- 1160 W Broad St
Columbus, OH 43222-1352 - Phone
- (614) 274-1455
- Fax
- (614) 274-1433
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 35047890 | OH | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 35047890 | OH | |
| General Practice Physician | 208D00000X | 35047890 | OH | |
| Family Medicine Physician | 207Q00000X | 3504789OH | OH | Primary |
Addresses
Primary practice location
1160 W Broad St
Columbus, OH 43222-1352
Mailing address
1155 E Main St
Lancaster, OH 43130-4056
Phone (740) 277-6237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0892584 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3504789OH | OH | MD | Family Medicine Physician |
| 35047890 | OH | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Lights Christian Health Center, Inc | Current | Accepting new patients | |
| Lower Lights Christian Health Center, Inc. | Current | Accepting new patients | |
| Lower Lights Christian Health Center Inc | Current | Accepting new patients | |
| Lower Lights Christian Health Center Inc | Current | Accepting new patients | |
| Lower Lights Christian Health Center, Inc. | Current | Accepting new patients | |
| Lower Lights Christian Health Center, Inc | Current | Accepting new patients | |
| Lower Lights Christian Health Center, Inc | Current | Accepting new patients | |
| Lower Lights Christian Health Center Inc | Current | Accepting new patients | |
| Ross County Health District | Past | Accepting new patients | |
| Medical Service Associates of Xenia Inc | Family Medicine | Past | Accepting new patients |
Locations
L3957
Columbus, OH 43260
1160 W Broad St
Columbus, OH 43222
Phone (614) 947-7615
777 W State St
Ste 201
Columbus, OH 43222
Phone 6142741455313
1560 S High St
Columbus, OH 43207
Phone 61427414556220
773 S Walnut St
Marysville, OH 43040
Phone (937) 578-2860
6000 Cooper Rd
Westerville, OH 43081
Phone (614) 259-5361
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Columbus, OH
- NPI 1033455209
-
- Clinic/Center
- Newark, OH
- NPI 1700549755
-
- Clinic/Center
- Columbus, OH
- NPI 1992460950
-
- Clinic/Center
- Columbus, OH
- NPI 1992468938
-
- Primary Care Clinic/Center
- Marysville, OH
- NPI 1699114108
-
- Primary Care Clinic/Center
- Columbus, OH
- NPI 1841611688
-
- Primary Care Clinic/Center
- Westerville, OH
- NPI 1962823708
-
- Primary Care Clinic/Center
- Columbus, OH
- NPI 1154630408
-
- Family Medicine Physician
- Xenia, OH
- NPI 1982600862
-
- Public Health or Welfare Agency
- Chillicothe, OH
- NPI 1083861363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1104891944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 E MAIN ST",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431304056",
"telephone_number": "740-277-6237",
"fax_number": "740-689-6759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221352",
"telephone_number": "614-274-1455",
"fax_number": "614-274-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWTHORNE",
"first_name": "TERRESA",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "OH",
"license": "35047890",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "OH",
"license": "35047890",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35047890",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "3504789OH",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0892584",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.