Teresa O Slough, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.094964 Issued in OH

Practice address

741-A Wessel Dr.
Fairfield, OH 45014

Phone

(513) 829-2614

Fax

(513) 829-0177

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teresa M O'Brien Former name

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tslough34600@direct.uchealth.com

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.

• Freedom Medical MD LLC

  • Primary Care Clinic/Center
  • West Chester, OH
  • NPI 1134864085
  Medicare reassignment NPD Authorized official
• University of Cincinnati Physicians Company, LLC

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1801840434
  Medicare reassignment

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1124222112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741-A WESSEL DR.",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "45014",
            "telephone_number": "513-829-2614",
            "fax_number": "513-829-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741-A WESSEL DR.",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "45014",
            "telephone_number": "513-829-2614",
            "fax_number": "513-829-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7335 Yankee Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Liberty Twp",
            "state": "OH",
            "postal_code": "450441253",
            "country_code": "US",
            "telephone_number": "513-564-6818",
            "fax_number": "513-564-6819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOUGH",
        "first_name": "TERESA",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.094964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084700",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tslough55338@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7335 Yankee Rd Ste 201",
            "city": "Liberty Twp",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450441253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "O'BRIEN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ely Sizemore, CMS
• Zachary Thor Skabelund, DDS, MS
• Sara Ann Slaughter, CNP
• Sleepcare Diagnostic Inc (Sleepcare Diagnostic Fairfield)
• Glenna M. Slomer
• David H Smile, MD
• Adam C. Smith
• Chelsea Amanda Smith, CDCA
• Eliah M Smith
• Evan Smith

• Family Medicine Physician in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.

Verify at the official NPI Registry.